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Ronald
D
Brandon
DC
Contract Details
ChiroPlus of Alabama
Facility name
Provider ID
P000000193
NPI
1700911740
Tax ID
631231287
Effective Date
8/7/2000
Last Updated
10/6/2014
Direct Contract
Yes
Term Date
10/6/2014
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
600 Main Street Suite 107
Gardendale, AL 35071
United States
County
Jefferson
Phone
2056318808
(
Phone
)
Billing Details
Address
600 Main Street
Suite 107
Gardendale, AL 35071
Billing Phone
2056318808
Specialty Type
Chiropractic Medicine
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