Ralph Pat    Bucy    MD
Contract Details
University of Alabama Health Services Foundation, P.C.
Facility name
Provider ID
P000000218
NPI
1770596454
Tax ID
630649108
Effective Date
4/1/1996
Last Updated
3/25/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
The Kirklin Clinic 2000 6th Avenue South
Birmingham, AL 35233
United States
County
Jefferson
Phone
2059349999 (Phone)
Billing Details
Address
P.O. Box 55309
Birmingham, AL 35255
Billing Phone
2059349999
Specialty Type
Pathology, Anatomic
Map
Address