Individual
DR. STEVEN A FERZOCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1111 S RALEIGH AVE, STE 100A, SHEFFIELD, AL 35660-6350
(662) 620-7102
(662) 620-7106
Mailing address
PO BOX 678063, DALLAS, TX 75267-8063
(662) 620-7102
(662) 620-7106
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
00023957
AL
2085R0202X
Diagnostic Radiology Physician
Primary
MD.23957
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000055298
MEDICARE PROVIDER NUMBER
AL
05
—
009912017
—
AL
05
—
009912081
—
AL
05
—
009934437
—
AL
05
—
009934438
—
AL
05
—
009978905
—
AL
05
—
009986500
—
AL
01
—
51507878
BC ECM
AL
01
—
51524639
BC OBGYN
AL
01
—
51531407
BC HALEYVILLE
AL
01
—
51531408
BC RUSSELLVILLE
AL
01
—
51543277
BC EAST
AL
01
—
51543312
BC SHOALS
AL
05
—
528202620
—
AL
01
—
C300
MC GROUP
AL
Enumeration date
06/01/2005
Last updated
02/07/2019
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