Joshua    Menendez    MD
Contract Details
Neurosurgical Associates
Facility name
Provider ID
P000000001
NPI
1780905380
Tax ID
630576431
Effective Date
8/16/2018
Last Updated
7/21/2020
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
90.00
Location Details
Address
7201 Happy Hollow Road
Trussville, AL 35173
United States
Phone
2053584017 (Phone)
Billing Details
Address
7201 Happy Hollow Road
Trussville, AL 35173
Billing Phone
Specialty Type
Surgery, Neurological
Map
Address