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Rodney
D
Rothstein
MD
Contract Details
Russellville Hospital
Facility name
Provider ID
P000001508
NPI
1598718520
Tax ID
030464224
Effective Date
10/1/2003
Last Updated
7/16/2014
Direct Contract
Yes
Term Date
7/24/2013
Status
Contract Discounts
Discount Type
M
Exhibit ID
AM_043
AM_043
Location Details
Address
15155 Highway 43
Russellville, AL 35653
United States
County
Franklin
Phone
2563321611
(
Phone
)
Billing Details
Address
P.O. Box 1089
Russellville, AL 35653
Billing Phone
2563321611
Specialty Type
Anesthesiology
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Address