MEDICARE: DR. JOHN STEPHEN THURBER 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	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	24029	AL

General Provider Information

NPI Number	:	1699737155
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN STEPHEN THURBER M.D.

Provider Business Mailing Address
First Line	:	3056 HEALTHY WAY STE 100
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35243-2435
Country	:	US
Telephone Number	:	205-930-2925
Fax Number	:

Provider Business Practice Location Address
First Line	:	3056 HEALTHY WAY STE 100
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35243-2435
Country	:	US
Telephone Number	:	205-930-2925
Fax Number	:

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

Provider Enumeration Date	:	04/03/2006
Last Update Date	:	01/13/2023

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