John  G  Stauffer    MD
Contract Details
East Alabama Occupational Medicine
Facility name
Provider ID
P000000001
NPI
1124108237
Tax ID
820681578
Effective Date
5/21/2024
Last Updated
5/24/2024
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
120 N 20th Street Building 17
Opelika, AL 36801
United States
Phone
334-528-6900 (Phone)
Billing Details
Address
120 N 20th Street
Building 17
Valley, AL 36801
Billing Phone
334-528-6900
Specialty Type
Occupational Medicine
Website
Visit Website
Map
Address