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Gaylon
R
Rogers
MD
Contract Details
Gaylon R. Rogers, M.D., P.C.
Facility name
Provider ID
P000001490
NPI
1437126497
Tax ID
631097474
Effective Date
2/26/1995
Last Updated
4/16/2014
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
3105 Independence Drive, Suite 105
Birmingham, AL 35209
United States
County
Jefferson
Phone
2058701498
(
Phone
)
Billing Details
Address
P.O. Box 338
Birmingham, AL 35201
Billing Phone
2058701498
Specialty Type
Surgery, Orthopedic
Map
Address