John  P  Buckley    MD
Contract Details
University Orthopaedic Clinic & Spine Center
Facility name
Provider ID
P000000214
NPI
1245282292
Tax ID
630732734
Effective Date
10/1/1997
Last Updated
1/23/2018
Direct Contract
Yes
Term Date
12/31/2017
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
90.00
Location Details
Address
400 Paul W. Bryant Drive East
Tuscaloosa, AL 35401
United States
County
Tuscaloosa
Phone
2053450192 (Phone)
Billing Details
Address
400 Paul W. Bryant Drive East
Tuscaloosa, AL 35401
Billing Phone
2053450192
Specialty Type
Surgery, Orthopedic
Map
Address