Individual
DR. STEPHEN M GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
166 LINDBERG AVE, ATMORE, AL 36502-3206
(251) 368-8767
(251) 368-4565
Mailing address
10184 EASTERN SHORE BLVD, STE A, SPANISH FORT, AL 36527-5814
(251) 368-8767
(251) 368-4565
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S486TA041
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529503380
—
AL
Enumeration date
07/25/2006
Last updated
04/01/2020
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