Individual
ELIZABETH J. VAN BLOMMESTEYN STAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
832 PRINCETON AVE SW, BIRMINGHAM, AL 35211-1320
(205) 206-8475
(205) 206-8395
Mailing address
PO BOX 12366, BIRMINGHAM, AL 35202-2366
(205) 780-7101
(205) 206-8338
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
15344
AL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
15344
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051501033
—
AL
01
—
515-01033
BCBS OF AL
AL
Enumeration date
06/28/2006
Last updated
05/24/2010
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