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NPI Code Detail

MEDICARE: STEVEN J. COULTER M.D.

MEDICARE: STEVEN J. COULTER 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
1174400000XSpecialist00018145AL
2207V00000XObstetrics & Gynecology Physician18145AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
227249OTHERALBCBS

General Provider Information

NPI Number : 1689626046
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN J. COULTER M.D.
Provider Business Mailing Address
First Line : 550 MEDICAL CENTER DR SW
Second Line : PO BOX 680199
City : FORT PAYNE
State : AL
Zip : 35968-3418
Country : US
Telephone Number : 256-845-8885
Fax Number : 256-845-9546
Provider Business Practice Location Address
First Line : 550 MEDICAL CENTER DRIVE SW
Second Line :
City : FORT PAYNE
State : AL
Zip : 35968-3418
Country : US
Telephone Number : 256-845-8885
Fax Number : 256-845-9546
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2006
Last Update Date : 04/06/2018

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Directions to “ STEVEN J. COULTER M.D.” Practice Location

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