Provider Demographics
NPI:1316949472
Name:STABLER, AUBREY AYERS JR (MD)
Entity type:Individual
Prefix:DR
First Name:AUBREY
Middle Name:AYERS
Last Name:STABLER
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1722 PINE ST
Mailing Address - Street 2:SUITE 804
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36106-1108
Mailing Address - Country:US
Mailing Address - Phone:334-834-7221
Mailing Address - Fax:334-241-9848
Practice Address - Street 1:1722 PINE ST
Practice Address - Street 2:SUITE 804
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36106-1108
Practice Address - Country:US
Practice Address - Phone:334-834-7221
Practice Address - Fax:334-241-9848
Is Sole Proprietor?:No
Enumeration Date:2005-06-02
Last Update Date:2012-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL6791207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL137342Medicaid
AL511-16896OtherBCBS
AL102I047481Medicare PIN
AL511-16896OtherBCBS