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Brad
F
Russell
DC
Contract Details
ChiroPlus Of Alabama
Facility name
Provider ID
P000001516
NPI
1073667499
Tax ID
630902626
Effective Date
7/1/1999
Last Updated
4/16/2014
Direct Contract
Yes
Term Date
4/14/2014
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
3153 Cahaba Heights Road
Birmingham, AL 35243
United States
County
Jefferson
Phone
2059670280
(
Phone
)
Billing Details
Address
P.O. Box 43547
Birmingham, AL 35243
Billing Phone
2059670280
Specialty Type
Chiropractic Medicine
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Address