Gordon    Spafford    MD
Contract Details
Infirmary Occupational Health
Facility name
Provider ID
P000000001
NPI
1326096173
Tax ID
631056697
Effective Date
10/7/2022
Last Updated
10/28/2022
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
305 North Water Street
Mobile, AL 36602
United States
Phone
251-433-3781 (Phone)
Billing Details
Address
305 North Water Street
Mobile, AL 36602
Billing Phone
251-433-3781
Specialty Type
Family Practice
Website
Visit Website
Map
Address