Paul    Classen    MD
Contract Details
Mobile Medical Group
Facility name
Provider ID
P000000311
Tax ID
630972221
Effective Date
8/18/1992
Last Updated
4/30/2015
Direct Contract
Yes
Term Date
4/30/2015
Status
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
6001 Airport Boulevard
Mobile, AL 36685
United States
County
Mobile
Phone
2513426944 (Phone)
Billing Details
Address
6001 Airport Boulevard
Mobile, AL 36685
Billing Phone
2513426944
Specialty Type
General Practice
Map
Address