Healthcare Provider Details

I. General information

NPI: 1295761336
Provider Name (Legal Business Name): JOY LYNN STEADMAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2006
Last Update Date: 06/22/2022
Certification Date: 06/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6801 AIRPORT BLVD # 7B
MOBILE AL
36608-3709
US

IV. Provider business mailing address

PO BOX 5538
FRESNO CA
93755-5538
US

V. Phone/Fax

Practice location:
  • Phone: 251-266-1676
  • Fax:
Mailing address:
  • Phone: 559-436-1000
  • Fax: 559-354-4235

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number0073892
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number54478
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: