Wellformed AI

NPI 1053501049 · live from the CMS NPI Registry

Stephanie Jeanine Anderson, M.D.

Pediatrics, Developmental - Behavioral Pediatrics in Mobile, AL. National Provider Identifier 1053501049, active.

NPI record

NPI1053501049 Type 1 · individual
StatusActive
Primary specialtyPediatrics, Developmental - Behavioral Pediatrics 2080P0006X
Practice location1601 Center St, Mobile, AL 36604
Practice phone251-410-5437
Mailing addressPo Box 40480, Mobile, AL 36640
EnumeratedJuly 26, 2007
Last updatedMarch 5, 2021
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Pediatrics, Developmental - Behavioral Pediatrics primary2080P0006XMD.29723 (AL)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.