Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 22828 | AL |
NPI | 1013903939 |
---|---|
Provider Name | Dr. Steven F. Madden |
First Address | Tuscaloosa, AL 35401-2086 |
Second Address | Tuscaloosa, AL 35401-2086 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G95340 | (02) | AL |