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STEPHEN ROY PARDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
119 HIGH PINES RDG, FAIRHOPE, AL 36532-6373
(251) 751-1461
Mailing address
119 HIGH PINES RDG, FAIRHOPE, AL 36532-6373
(251) 751-1461

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
00013491
AL
208600000X
Surgery Physician
01070627A
IN
208600000X
Surgery Physician
017342
ME
208600000X
Surgery Physician
12985
NH
208600000X
Surgery Physician
20888
MS
208600000X
Surgery Physician
25254
NE
208600000X
Surgery Physician
50462-20
WI
208600000X
Surgery Physician
6533
AK
208600000X
Surgery Physician
MD00047412
WA
208600000X
Surgery Physician
MD27134
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000001003813
ANTHEM
IN
05
000089285
AL
05
201348840
IN
05
30206244
NH
01
P01618784
RAILROAD MEDICARE
IN
Enumeration date
07/29/2006
Last updated
09/01/2016
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