Basic Information
| Provider Information | |||||||||
| NPI: | 1841320447 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | ALLEN H STERN DPM PA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1558 E TRINITY BLVD | ||||||||
| Address2: | |||||||||
| City: | MONTGOMERY | ||||||||
| State: | AL | ||||||||
| PostalCode: | 361063609 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3343963338 | ||||||||
| FaxNumber: | 3342444184 | ||||||||
| Practice Location | |||||||||
| Address1: | 1558 E TRINITY BLVD | ||||||||
| Address2: | |||||||||
| City: | MONTGOMERY | ||||||||
| State: | AL | ||||||||
| PostalCode: | 361063609 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3343963338 | ||||||||
| FaxNumber: | 3342444184 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/06/2007 | ||||||||
| LastUpdateDate: | 11/13/2007 | ||||||||
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| AuthorizedOfficialLastName: | STERN | ||||||||
| AuthorizedOfficialFirstName: | ALLEN | ||||||||
| AuthorizedOfficialMiddleName: | HOWARD | ||||||||
| AuthorizedOfficialTitleorPosition: | DOCTOR OWNER | ||||||||
| AuthorizedOfficialTelephone: | 3343963338 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | DPM | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 213E00000X | 32 | AL | Y | 193400000X SINGLE SPECIALTY GROUP | Podiatric Medicine & Surgery Service Providers | Podiatrist |
No ID Information.