John  P  Young    MD
Contract Details
Orthopaedic Sports Medicine Clinic of Alabama
Facility name
Provider ID
P000001919
NPI
1457392045
Tax ID
200433067
Effective Date
3/15/2005
Last Updated
3/24/2015
Direct Contract
Yes
Term Date
3/24/2015
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
200 Montgomery Highway Suite 200
Birmingham, AL 35216
United States
County
Jefferson
Phone
2058229595 (Phone)
Billing Details
Address
200 Montgomery Highway
Suite 200
Birmingham, AL 35216
Billing Phone
2058229595
Specialty Type
Surgery, Orthopedic
Map
Address