Mark    Crowell    MD
Contract Details
Infirmary Medical Clinics
Facility name
Provider ID
P000000001
NPI
1821025420
Tax ID
815346082
Effective Date
10/7/2022
Last Updated
11/9/2022
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
3 Mobile Infirmary Circle Suite 410
Mobile, AL 36607
United States
Phone
251-435-1366 (Phone)
Billing Details
Address
3 Mobile Infirmary Circle
Suite 410
Mobile, AL 36607
Billing Phone
251-435-1366
Specialty Type
Anesthesiology
Map
Address