Noel  M  Bergquist    MD
Contract Details
Open MRI of Oxford
Facility name
Provider ID
P000000125
NPI
1023040409
Tax ID
621745981
Effective Date
6/1/1999
Last Updated
8/19/2014
Direct Contract
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_060
Location Details
Address
1612 Hamric Drive East Suite 101
Oxford, AL 36203
United States
County
Calhoun
Phone
2568320007 (Phone)
Billing Details
Address
1612 Hamric Drive East
Suite 101
Oxford, AL 36203
Billing Phone
Specialty Type
Radiology, Diagnostic
Map
Address