Edvin  J  Larson    MD
Contract Details
Auburn Urgent Care--Opelika
Facility name
Provider ID
P000007744
NPI
1588756282
Tax ID
631286855
Effective Date
4/7/2014
Last Updated
5/13/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
106.00
Fee Schedule Multiplier
Location Details
Address
2638 Enterprise Drive
Opelika, AL 36801
United States
County
Lee
Phone
3347499191 (Phone)
Billing Details
Address
1650-A South College Street
Auburn, AL 36832
Billing Phone
3348213221
Specialty Type
Family Practice
Map
Address