Ralph    Levene    MD
Contract Details
Ralph Z. Levene, M.D., P.C.
Facility name
Provider ID
P000000986
Tax ID
630827330
Effective Date
3/1/1999
Last Updated
5/5/2014
Direct Contract
Yes
Term Date
5/31/2013
Status
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
513 Brookwood Boulevard Suite 500
Birmingham, AL 35209
United States
County
Jefferson
Phone
2058772929 (Phone)
Billing Details
Address
513 Brookwood Boulevard
Suite 500
Birmingham, AL 35209
Billing Phone
2058772929
Specialty Type
Ophthalmology
Map
Address