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John
L
Reichle
MD
Contract Details
Valley Radiology
Facility name
Provider ID
P000001441
NPI
1710947684
Tax ID
630630858
Effective Date
12/1/1993
Last Updated
9/13/2013
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
1108 South Broad Street
Scottsboro, AL 35768
United States
County
Jackson
Phone
2562592323
(
Phone
)
Billing Details
Address
Specialty Type
Radiology, Diagnostic
Map
Address