MEDICARE: DR. AUBREY AYERS STABLER JR. M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Y00000X	Otolaryngology Physician	6791	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	511-16896	OTHER	AL	BCBS

General Provider Information

NPI Number	:	1316949472
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AUBREY AYERS STABLER JR. M.D

Provider Business Mailing Address
First Line	:	1722 PINE ST
Second Line	:	SUITE 804
City	:	MONTGOMERY
State	:	AL
Zip	:	36106-1108
Country	:	US
Telephone Number	:	334-834-7221
Fax Number	:	334-241-9848

Provider Business Practice Location Address
First Line	:	1722 PINE ST
Second Line	:	SUITE 804
City	:	MONTGOMERY
State	:	AL
Zip	:	36106-1108
Country	:	US
Telephone Number	:	334-834-7221
Fax Number	:	334-241-9848

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2005
Last Update Date	:	06/13/2012

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