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Contract Details
Alabama Orthopedic, Spine & Sports Medicine Associates
Facility name
Ortho Alabama
Provider ID
P000001957
NPI
1659344984
Tax ID
630954295
Effective Date
3/21/2005
Last Updated
11/13/2023
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
M
Exhibit ID
AM_094
AM_094
Location Details
Address
1801 Gadsden Highway
Birmingham, AL 35235
United States
County
Jefferson
Phone
2058383900
(
Phone
)
Billing Details
Address
1801 Gadsden Highway
Birmingham, AL 35235
Billing Phone
2058383900
Specialty Type
Diagnostic Services
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Address