Individual
PAUL STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1123 BELLEVILLE AVE, BREWTON, AL 36426-1505
(251) 867-8001
Mailing address
1123 BELLEVILLE AVE, BREWTON, AL 36426-1505
(251) 867-8001
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
DO.2357
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
279590
—
AL
01
—
A110914528
MEDICARE
AL
01
—
A11091A
MEDICARE
AL
Enumeration date
07/07/2015
Last updated
02/01/2024
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