Ryan  T  Cordry    DO
Contract Details
OrthoSports Associates--Birmingham-Princeton
Facility name
Provider ID
P000000346
NPI
1508919622
Tax ID
275501752
Effective Date
12/13/2022
Last Updated
1/5/2023
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_508
Location Details
Address
801 Princeton Avenue Building 1, Suite 710
Birmingham, AL 35211
United States
County
Jefferson
Phone
2057811950 (Phone)
Billing Details
Address
801 Princeton Avenue
Building 1, Suite 710
Birmingham, AL 35211
Billing Phone
2059390477
Specialty Type
Surgery, Orthopedic
Map
Address