Tyler  J  Marshall    MD
Contract Details
Alabama Orthopedic, Spine & Sports
Facility name
Provider ID
P000008591
NPI
1871728915
Tax ID
630954295
Effective Date
2/2/2017
Last Updated
2/23/2017
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
1801 Gadsden Highway
Birmingham, AL 35283
United States
County
Jefferson
Phone
2058383900 (Phone)
Billing Details
Address
P.O. Box 830785
Drawer 415
Birmingham, AL 35283
Billing Phone
2058383900
Specialty Type
Surgery, Orthopedic
Map
Address