Robert  B  Poczatek    MD
Contract Details
Neurosurgical Associates
Facility name
Provider ID
P000001373
NPI
1447347489
Tax ID
630576431
Effective Date
8/14/2018
Last Updated
8/16/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
800 Saint Vincent's Drive Suite 700
Birmingham, AL 35205
United States
County
Jefferson
Phone
2059338981 (Phone)
Billing Details
Address
800 Saint Vincent's Drive
Suite 700
Birmingham, AL 35205
Billing Phone
2059338981
Specialty Type
Physical Medicine & Rehabilitation
Map
Address