Xiulu    Ruan    MD
Contract Details
Physicians' Pain Specialists of Alabama, P.C.
Facility name
Provider ID
P000001510
NPI
1023079274
Tax ID
631189336
Effective Date
9/1/2003
Last Updated
5/20/2015
Direct Contract
Yes
Term Date
5/20/2015
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
92.50
Location Details
Address
28150 North Main Street
Daphne, AL 36526
United States
County
Baldwin
Phone
2514454195 (Phone)
Billing Details
Address
2001 Springhill Avenue
Mobile, AL 36607
Billing Phone
2514784900
Specialty Type
Pain Medicine
Map
Address