Ryan    Cordry    DO
Contract Details
OrthoSports Associates, LLC
Facility name
Provider ID
P000000001
NPI
1508919622
Tax ID
275501752
Effective Date
9/22/2023
Last Updated
9/25/2023
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_508
Location Details
Address
7191 Cahaba Valley Road Suite 100B
Birmingham, AL 35242
United States
Phone
205-939-0447 (Phone)
Billing Details
Address
7191 Cahaba Valley Road
Suite 100B
Birmingham, AL 35242
Billing Phone
205-939-0447
Specialty Type
Surgery, Orthopedic
Map
Address