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DR. STEVEN A FERZOCO M.D.
>> Specialist >> Other Service ProvidersRegistrant NPI Number: 1952303208
Individual Registrant:DR. STEVEN A FERZOCO M.D.
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
1111 S RALEIGH AVE STE 100A SHEFFIELD, AL 35660-6350 US
Tel: 662-620-7102 Fax: 662-620-7106
Tel: 662-620-7102 Fax: 662-620-7106
Contact information for business:
PO BOX 678063 DALLAS, TX 75267-8063 US
Tel: 662-620-7102 Fax: 662-620-7106
Tel: 662-620-7102 Fax: 662-620-7106
Registration Information:
NPI: 1952303208
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 174400000X | Other Service Providers Specialist | AL | 00023957 |
| Y | 2085R0202X | Allopathic & Osteopathic Physicians Radiology | AL | MD.23957 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 009986500 | AL | 05 | |
| BC ECM | 51507878 | AL | 01 |
| 009934437 | AL | 05 | |
| 009978905 | AL | 05 | |
| 528202620 | AL | 05 | |
| 009912017 | AL | 05 | |
| BC SHOALS | 51543312 | AL | 01 |
| MEDICARE PROVIDER NUMBER | 000055298 | AL | 01 |
| 009912081 | AL | 05 | |
| 009934438 | AL | 05 | |
| BC OBGYN | 51524639 | AL | 01 |
| MC GROUP | C300 | AL | 01 |
| BC HALEYVILLE | 51531407 | AL | 01 |
| BC RUSSELLVILLE | 51531408 | AL | 01 |
| BC EAST | 51543277 | AL | 01 |
