Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 38853 | AL |
NPI | 1003313834 |
---|---|
Provider Name | Stephanie Currin Demasi |
First Address | Birmingham, AL 35233-1900 |
Second Address | Birmingham, AL 35233-1900 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2018 |
Last Update Date | 16/03/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1003313834 | (05) | AL |
1003313834 | ALL OTHER (01) | AL |