Alan  J  Weber    DC
Contract Details
Facility name
Provider ID
P000001833
NPI
1093772626
Tax ID
630854356
Effective Date
8/7/2000
Last Updated
11/21/2011
Direct Contract
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
2301 Moody Pkwy Suite 5
Moody, AL 35004
United States
County
Saint Clair
Phone
2056408023 (Phone)
Billing Details
Address
Specialty Type
Chiropractic Medicine
Map
Address