Hugh Chester    Boston  Jr  MD
Contract Details
University Orthopaedic Clinic & Spine Center
Facility name
Provider ID
P000000174
NPI
1922050418
Tax ID
630732734
Effective Date
10/1/1997
Last Updated
5/14/2020
Direct Contract
Yes
Term Date
12/31/2017
Status
Contract Discounts
Discount Type
M
Exhibit ID
AM_452
Location Details
Address
305 Paul W. Bryant Drive East
Tuscaloosa, AL 35401
United States
County
Tuscaloosa
Phone
2053450192 (Phone)
Billing Details
Address
305 Paul W. Bryant Drive East
Birmingham, AL 35401
Specialty Type
Surgery, Orthopedic
Map
Address