John  G  Stauffer    MD
Contract Details
Alabama Occupational Medicine
Facility name
Provider ID
P000001664
NPI
1124108238
Tax ID
030512108
Effective Date
10/15/2004
Last Updated
5/24/2024
Direct Contract
Yes
Term Date
5/20/2024
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
2515 East Glenn Avenue Suite 106
Auburn, AL 36830
United States
County
Lee
Phone
3348217788 (Phone)
Billing Details
Address
2515 East Glenn Avenue
Suite 106
Auburn, AL 36830
Billing Phone
8887450211
Specialty Type
Occupational Medicine
Map
Address