Kevin  C  Staudinger    MD
Contract Details
Brookwood Occupational Health Clinic
Facility name
Provider ID
P000001663
NPI
1023111820
Tax ID
474758110
Effective Date
10/3/2015
Last Updated
9/28/2015
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
84.00
Location Details
Address
4760 Eastern Valley Road Suite 102
Mc Calla, AL 35111
United States
County
Tuscaloosa
Phone
2059698818 (Phone)
Billing Details
Address
4902 Valleydale Road
Birmingham, AL 35242
Billing Phone
2059698818
Specialty Type
Occupational Medicine
Map
Address