Leslie  V  Rush  III  DO
Contract Details
Baldwin Bone & Joint--Orange Beach
Facility name
Provider ID
P000001515
NPI
1518935881
Tax ID
631283588
Effective Date
10/1/2001
Last Updated
4/14/2014
Direct Contract
Yes
Term Date
4/14/2014
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
90.00
Location Details
Address
4223 Orange Beach Boulevard Suite C
Orange Beach, AL 36561
United States
County
Baldwin
Phone
2519812663 (Phone)
Billing Details
Address
1505 Daphne Avenue
Daphne, AL 36526
Billing Phone
2516252663
Specialty Type
Physical Medicine & Rehabilitation
Map
Address