F Darlene    Traffanstedt    MD
Contract Details
BHC Hoover Internal Medicine Associates
Facility name
Provider ID
P000001757
NPI
1164401121
Tax ID
841721114
Effective Date
1/1/1996
Last Updated
11/21/2011
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
5295 Preserve Pkwy Suite 240
Hoover, AL 35244
United States
County
Jefferson
Phone
2056829124 (Phone)
Billing Details
Address
Specialty Type
Internal Medicine
Map
Address