Thomas  A  Staner  Jr  MD
Contract Details
Alabama Neurosurgeons
Facility name
Provider ID
P000001659
NPI
1659464626
Tax ID
631017893
Effective Date
9/15/1994
Last Updated
6/9/2016
Direct Contract
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
620 Quintard Avenue
Oxford, AL 36203
United States
County
Calhoun
Phone
2059914400 (Phone)
Billing Details
Address
7500 Hugh Daniel Drive
Suite 200
Birmingham, AL 35242
Specialty Type
Surgery, Neurological
Map
Address