Healthcare Provider Details

I. General information

NPI: 1699737155
Provider Name (Legal Business Name): JOHN STEPHEN THURBER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2006
Last Update Date: 01/13/2023
Certification Date: 01/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3056 HEALTHY WAY STE 100
BIRMINGHAM AL
35243-2435
US

IV. Provider business mailing address

3056 HEALTHY WAY STE 100
BIRMINGHAM AL
35243-2435
US

V. Phone/Fax

Practice location:
  • Phone: 205-930-2925
  • Fax:
Mailing address:
  • Phone: 205-930-2925
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number24029
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: