Donald    Herip    MD
Contract Details
USA Health Industrial Medicine
Facility name
Provider ID
P000000001
NPI
1083772891
Tax ID
862710101
Effective Date
4/1/2022
Last Updated
5/10/2022
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
1976 Michigan Avenue
Mobile, AL 36615
United States
Phone
251-660-5910 (Phone)
Billing Details
Address
1976 Michigan Avenue
Mobile, AL 36615
Billing Phone
251-660-5910
Specialty Type
Occupational Medicine
Website
Visit Website
Map
Address