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Roger
M
Setzler
MD
Contract Details
Alabama Orthopaedic Clinic
Facility name
Provider ID
P000001583
NPI
1639179062
Tax ID
631174582
Effective Date
7/1/2005
Last Updated
6/29/2018
Direct Contract
Yes
Term Date
6/25/2018
Status
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
3610 Springhill Memorial Drive North
Mobile, AL 36608
United States
County
Mobile
Phone
2514103600
(
Phone
)
Billing Details
Address
Specialty Type
Surgery, Orthopedic
Map
Address