Paul  B  Canale    MD
Contract Details
Baldwin Bone & Joint--Mobile
Facility name
Provider ID
P000000252
NPI
1710973490
Tax ID
631283588
Effective Date
10/1/2001
Last Updated
8/1/2018
Direct Contract
Yes
Term Date
7/29/2018
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
90.00
Location Details
Address
6701 Airport Boulevard Suite B-114
Mobile, AL 36608
United States
County
Mobile
Phone
2516252663 (Phone)
Billing Details
Address
1505 Daphne Avenue
Daphne, AL 36526
Billing Phone
2516252663
Specialty Type
Surgery, Orthopedic
Map
Address