Basic Information
| Provider Information | |||||||||
| NPI: | 1982716536 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | STEINMETZ | ||||||||
| FirstName: | STEPHEN | ||||||||
| MiddleName: | R | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2700 10TH AVE S STE 510 | ||||||||
| Address2: | |||||||||
| City: | BIRMINGHAM | ||||||||
| State: | AL | ||||||||
| PostalCode: | 352051250 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2059300980 | ||||||||
| FaxNumber: | 2059860081 | ||||||||
| Practice Location | |||||||||
| Address1: | 2700 10TH AVE S STE 510 | ||||||||
| Address2: | |||||||||
| City: | BIRMINGHAM | ||||||||
| State: | AL | ||||||||
| PostalCode: | 352051250 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2059300980 | ||||||||
| FaxNumber: | 2059860081 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/31/2006 | ||||||||
| LastUpdateDate: | 02/25/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208200000X | 16077 | AL | Y | Allopathic & Osteopathic Physicians | Plastic Surgery |
ID Information
| ID | Type | State | Issuer | Description | 51084142 | 01 | AL | BCBS | OTHER |