Male or Other

Frederick H. Stevens MD

Family Medicine Physician in Huntsville, AL(View on Map)

Full Name

Frederick Hansen Stevens MD

NPI Number

1578530184

NPI Type

Individual Provider

Gender

Male

Enumeration Date

03/02/2006

Specialties

(Taxonomies)

Code

207Q00000X

Primary Taxonomy

Yes

Licenses

State

Alabama

License Number

12389

Contact
Information

Purpose

Mailing
Location

Address

7850 MEMORIAL PKWY SW
7850 MEMORIAL PKWY SW

City

Huntsville
Huntsville

State

AL
AL

Postal Code

35802-2224
35802-2224

Country

US
US

Telephone Number

(256) 882-0132
(256) 882-0132

Identifiers

Identifier

051511094
080194993

Identifier State

AL
AL

Identifier Issuer

BLUE CROSS BLUE SHIELD
RAILROAD MEDICARE

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/06/2022

Provider Address

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