Basic Information
| Provider Information | |||||||||
| NPI: | 1316482391 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | STV ORTHOPEDIC SURGEONS LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 50 MEDICAL PARK DR E | ||||||||
| Address2: | BLDG 46, STE 310, FINANCE | ||||||||
| City: | BIRMINGHAM | ||||||||
| State: | AL | ||||||||
| PostalCode: | 352353401 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2058385286 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2030 LAY DAM RD | ||||||||
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| City: | CLANTON | ||||||||
| State: | AL | ||||||||
| PostalCode: | 350458344 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2059397955 | ||||||||
| FaxNumber: | 2057392049 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/29/2016 | ||||||||
| LastUpdateDate: | 04/27/2022 | ||||||||
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| AuthorizedOfficialLastName: | WILLIAMS | ||||||||
| AuthorizedOfficialFirstName: | BRANDON | ||||||||
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| AuthorizedOfficialTitleorPosition: | CFO | ||||||||
| AuthorizedOfficialTelephone: | 2059397955 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 04/27/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
No ID Information.