NPI 1083818751

Stephen Michael Entrekin, PA

Practitioner Surgical Physician Assistant Gadsden, AL

Practice location

Address: 815 Riverbend Dr, Gadsden, AL 35901-2556
Phone: (256) 456-0228
Fax: (256) 456-0231

Registered specialties

Surgical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence PA 107 (AL)

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Registry record

NPI: 1083818751
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Jun 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.