MEDICARE: RICHARD A STEHL MD

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	208D00000X	General Practice Physician	00027593	AL

General Provider Information

NPI Number	:	1760490411
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD A STEHL MD

Provider Business Mailing Address
First Line	:	8248 PARKVIEW CT
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36117-6964
Country	:	US
Telephone Number	:	334-590-7391
Fax Number	:

Provider Business Practice Location Address
First Line	:	4135 ATLANTA HWY
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36109-3022
Country	:	US
Telephone Number	:	334-558-0908
Fax Number	:	334-558-0910

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

Provider Enumeration Date	:	08/04/2006
Last Update Date	:	11/18/2009

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