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NPI Code Detail

MEDICARE: DR. STEVEN MICHAEL BLACKWELL M.D.

MEDICARE: DR. STEVEN MICHAEL BLACKWELL 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
1207L00000XAnesthesiology PhysicianMD.20918AL

General Provider Information

NPI Number : 1639138886
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEVEN MICHAEL BLACKWELL M.D.
Provider Business Mailing Address
First Line : 2151 OLD ROCKY RIDGE ROAD
Second Line : SUITE 106
City : BIRMINGHAM
State : AL
Zip : 35216-7251
Country : US
Telephone Number : 205-989-1091
Fax Number : 205-989-1087
Provider Business Practice Location Address
First Line : 3316 HIGHWAY 280
Second Line :
City : ALEXANDER CITY
State : AL
Zip : 35010-3369
Country : US
Telephone Number : 256-329-7100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2006
Last Update Date : 05/14/2021

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