John  B  Riser    MD
Contract Details
Alabama Neurology Associates
Facility name
Provider ID
P000001468
NPI
1134216088
Tax ID
630976742
Effective Date
4/1/2007
Last Updated
4/14/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
509 Brookwood Boulevard Suite 101
Birmingham, AL 35209
United States
County
Jefferson
Phone
2058032210 (Phone)
Billing Details
Address
509 Brookwood Boulevard
Suite 101
Birmingham, AL 35209
Billing Phone
2058032210
Specialty Type
Neurology
Map
Address