Individual
STEVEN J. COULTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
550 MEDICAL CENTER DRIVE SW, FORT PAYNE, AL 35968-3418
(256) 845-8885
(256) 845-9546
Mailing address
550 MEDICAL CENTER DR SW, PO BOX 680199, FORT PAYNE, AL 35968-3418
(256) 845-8885
(256) 845-9546
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
00018145
AL
207V00000X
Obstetrics & Gynecology Physician
Primary
18145
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000027249
—
AL
01
—
27249
BCBS
AL
Enumeration date
05/16/2006
Last updated
04/06/2018
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