Individual
DR. PHILLIP ROGER STOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7777 HIGHWAY 43 NORTH, MCINTOSH, AL 36553
(251) 944-2842
(251) 944-8070
Mailing address
PO BOX 415, MC INTOSH, AL 36553-0415
(251) 944-2842
(251) 944-8070
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
13892
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1962453852
NPI
AL
01
—
51591327
BLUE SHIELD
AL
05
—
631502023
—
AL
Enumeration date
05/15/2006
Last updated
03/03/2010
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