William  K  McKibbin    MD
Contract Details
University Orthopaedic Clinic, P.C.
Facility name
Provider ID
P000008517
NPI
1629025838
Tax ID
630732734
Effective Date
5/4/2020
Last Updated
5/14/2020
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_452
Location Details
Address
305 Paul W. Bryant Drive East
Tuscaloosa, AL 35401
United States
County
Tuscaloosa
Phone
2053450192 (Phone)
Billing Details
Address
305 Paul W. Bryant Drive East
Tuscaloosa, AL 35401
Billing Phone
2053450192
Specialty Type
Surgery, Orthopedic Foot & Ankle
Map
Address