Jeffrey  R  Cusmariu    MD
Contract Details
St. Vincent's Orthopedics
Facility name
Provider ID
P000000378
NPI
1104894021
Tax ID
364507126
Effective Date
3/1/2017
Last Updated
3/3/2017
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
2700 10th Avenue South Suite 200
Birmingham, AL 35205
United States
County
Jefferson
Phone
2059337838 (Phone)
Billing Details
Address
2700 10th Avenue South
Suite 200
Birmingham, AL 35205
Billing Phone
2059337838
Specialty Type
Surgery, Orthopedic
Map
Address