Paul  R  Clark    MD
Contract Details
Neurosurgical Associates
Facility name
Provider ID
P000000001
NPI
1619388659
Tax ID
630576431
Effective Date
7/1/2021
Last Updated
8/2/2021
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
800 St. Vincent's Drive Suite 700
Birmingham, AL 35205
United States
Phone
205-933-8981 (Phone)
Billing Details
Address
800 St. Vincent's Drive
Birmingham, AL 35205
Billing Phone
205-933-8981
Specialty Type
Surgery, Neurological
Website
Visit Website
Map
Address