Provider Demographics
NPI:1124089503
Name:SAUTER, STEPHEN T (DO)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:T
Last Name:SAUTER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2006 FRANKLIN ST SE STE 200
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-4537
Mailing Address - Country:US
Mailing Address - Phone:256-539-0457
Mailing Address - Fax:256-365-0237
Practice Address - Street 1:2006 FRANKLIN ST SE STE 200
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-4537
Practice Address - Country:US
Practice Address - Phone:256-539-0457
Practice Address - Fax:256-365-0237
Is Sole Proprietor?:No
Enumeration Date:2006-03-28
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL24792085R0202X
KS05284282085R0202X
MDH00698232085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL262723Medicaid
AL262800Medicaid
AL262959Medicaid
AL263620Medicaid
AL262778Medicaid
AL263689Medicaid
AL262755Medicaid
AL262688Medicaid
AL262695Medicaid
AL262699Medicaid
AL263161Medicaid
AL263295Medicaid