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Peter
G
Casten
Jr
MD
Contract Details
DCH Center For Occupational Health
Facility name
Provider ID
P000000273
NPI
1558412122
Tax ID
636000271
Effective Date
11/5/1996
Last Updated
4/22/2013
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
701 University Boulevard East Suite 211
Tuscaloosa, AL 35401
United States
County
Tuscaloosa
Phone
2053334300
(
Phone
)
Billing Details
Address
Specialty Type
Internal Medicine
Map
Address