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Ramon
Rodriguez
MD
Contract Details
Alabama Orthopaedic Clinic
Facility name
Provider ID
P000000001
NPI
1356370787
Tax ID
631174582
Effective Date
12/1/2022
Last Updated
12/9/2022
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
M
Exhibit ID
AM_388
Exhibit Attachment
Location Details
Address
3610 Springhill Memorial Drive North
Mobile, AL 36608
United States
Phone
251-410-3600
(
Phone
)
Billing Details
Address
3610 Springhill Memorial Drive North
Mobile, AL 36608
Billing Phone
251-410-3600
Specialty Type
Surgery, Orthopedic
Map
Address