Leonides  V  Santos    MD
Contract Details
Leonides V. Santos, M.D., P.C.
Facility name
Provider ID
P000001552
NPI
1124115720
Tax ID
630829564
Effective Date
7/1/1999
Last Updated
5/14/2016
Direct Contract
Term Date
5/1/2016
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
90.00
Location Details
Address
201 Jackson Avenue South
Russellville, AL 35653
United States
County
Franklin
Phone
2563323321 (Phone)
Billing Details
Address
Specialty Type
Surgery, General
Map
Address