Xiulu    Ruan    MD
Contract Details
Physicians' Pain Specialists of Alabama, P.C.
Facility name
Provider ID
P000001510
NPI
1023079274
Tax ID
631189336
Effective Date
9/1/2003
Last Updated
5/20/2015
Direct Contract
Yes
Term Date
5/20/2015
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
2001 Springhill Avenue
Mobile, AL 36607
United States
County
Mobile
Phone
2515804580 (Phone)
Billing Details
Address
Specialty Type
Pain Medicine
Map
Address