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Eugene
T
Saiter
MD
Contract Details
Gulf Coast Medical Evaluation Center, P.C.
Facility name
Provider ID
P000006935
NPI
1386883643
Tax ID
452882940
Effective Date
3/11/2013
Last Updated
3/19/2013
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
M
Exhibit ID
AM_155
AM_155
Location Details
Address
6475 Spanish Fort Boulevard Suite G
Spanish Fort, AL 36527
United States
County
Baldwin
Phone
2516266226
(
Phone
)
Billing Details
Address
P.O. Box 8048
Spanish Fort, AL 36577
Billing Phone
2516266226
Specialty Type
Medical Records Review
Map
Address