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Stephen
C
Ashe
DO
Contract Details
Alabama Orthopaedic Clinic
Facility name
Provider ID
P000000054
NPI
1538169099
Tax ID
631174582
Effective Date
6/26/2018
Last Updated
6/28/2018
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
M
Exhibit ID
AM_388
AM_388
Location Details
Address
3610 Springhill Memorial Drive North
Mobile, AL 36608
United States
County
Mobile
Phone
2514103600
(
Phone
)
Billing Details
Address
3610 Springhill Memorial Drive North
Mobile, AL 36608
Billing Phone
2514103600
Specialty Type
Radiology, Diagnostic
Map
Address