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Brian
A
Gaspard
MD
Contract Details
The Spine & Neuro Center
Facility name
Provider ID
P000003526
NPI
1598043143
Tax ID
630572198
Effective Date
1/14/2002
Last Updated
9/29/2016
Direct Contract
Yes
Term Date
9/27/2016
Status
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
201 Governors Drive
Huntsville, AL 35801
United States
County
Madison
Phone
2565331600
(
Phone
)
Billing Details
Address
201 Governors Drive
Huntsville, AL 35801
Billing Phone
2565331600
Specialty Type
Surgery, Neurological
Map
Address