Healthcare Provider Details

I. General information

NPI: 1881659084
Provider Name (Legal Business Name): STEVEN ALAN ISBELL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/19/2006
Last Update Date: 07/02/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 MEDICAL CENTER DR SW
FORT PAYNE AL
35968-3420
US

IV. Provider business mailing address

321 MEDICAL CENTER DR SW
FORT PAYNE AL
35968-3420
US

V. Phone/Fax

Practice location:
  • Phone: 256-845-4131
  • Fax: 256-845-4266
Mailing address:
  • Phone: 256-845-4131
  • Fax: 256-845-4266

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number11947
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: