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Thomas
A
Staner
Jr
MD
Contract Details
Alabama Neurosurgeons, P.C.
Facility name
Provider ID
P000001659
NPI
1659464626
Tax ID
631017893
Effective Date
8/15/1994
Last Updated
5/7/2013
Direct Contract
Yes
Term Date
5/7/2013
Status
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
513 Brookwood Boulevard Suite 260
Birmingham, AL 35209
United States
County
Jefferson
Phone
2058708556
(
Phone
)
Billing Details
Address
Specialty Type
Surgery, Neurological
Map
Address