=====================================================
General NPI Number Information
=====================================================
NPI Number | 1386883643
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | EUGENE SAITER M.D.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/10/2009
-----------------------------------------------------
Last Update Date | 01/31/2017
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 22765 STATE HIGHWAY 59 S
-----------------------------------------------------
City | ROBERTSDALE
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 36567-3197
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 251-947-2320
-----------------------------------------------------
Fax | 251-947-2321
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 22765 STATE HIGHWAY 59 S
-----------------------------------------------------
City | ROBERTSDALE
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 36567-3197
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 251-947-2320
-----------------------------------------------------
Fax | 251-947-2321
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207X00000X
-----------------------------------------------------
Taxonomy Name | Orthopaedic Surgery Physician
-----------------------------------------------------
License Number | 8254
-----------------------------------------------------
License Number State | AL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 202C00000X
-----------------------------------------------------
Taxonomy Name | Independent Medical Examiner Physician
-----------------------------------------------------
License Number | MD8254
-----------------------------------------------------
License Number State | AL
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 207QA0401X
-----------------------------------------------------
Taxonomy Name | Addiction Medicine (Family Medicine) Physician
-----------------------------------------------------
License Number | 8254
-----------------------------------------------------
License Number State | AL
-----------------------------------------------------