John    Stauffer    MD
Contract Details
East Alabama Occupational Medicine
Facility name
Provider ID
P000000001
NPI
1124108238
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
267 Fob James Drive
Valley, AL 36854
United States
Phone
334-710-0526 (Phone)
Billing Details
Address
P.O. Box 1000
Valley, AL 36854
Billing Phone
334-710-0526
Specialty Type
Occupational Medicine
Map
Address