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Robert
L
Lansden
MD
Contract Details
Facility name
Pain Management Services--Brookwood Medical Center
Provider ID
P000000964
NPI
1770561144
Tax ID
721378440
Effective Date
6/15/1999
Last Updated
11/13/2019
Direct Contract
No
Status
Active
Contract Discounts
Location Details
Address
513 Brookwood Boulevard
Birmingham, AL 35209
United States
Phone
205-802-6565
(
Phone
)
Billing Details
Address
513 Brookwood Boulevard
Birmingham, AL 35209
Billing Phone
205-802-6565
Specialty Type
Diagnostic Services
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Address