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Keith Howard
Langford
MD
Contract Details
Birmingham Neurosurgery & Spine Group--Birmingham-Homewood
Facility name
Provider ID
P000000961
NPI
1275582850
Tax ID
631034033
Effective Date
9/15/2007
Last Updated
4/16/2014
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
3125 Independence Drive Suite 200
Birmingham, AL 35209
United States
County
Jefferson
Phone
2059865200
(
Phone
)
Billing Details
Address
3125 Independence Drive
Suite 200
Birmingham, AL 35209
Billing Phone
2059865200
Specialty Type
Surgery, Neurological
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Address