Organization
VALLEY SPINE AND PAIN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HORNBUCKLE (OWNER)
(256) 907-2493
Entity
Organization
Contact information
Practice address
2227 DRAKE AVE SW STE 7B, HUNTSVILLE, AL 35805
(256) 907-2493
(256) 281-8134
Mailing address
PO BOX 18545, HUNTSVILLE, AL 35804-8545
(256) 907-2493
(256) 281-8134
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
186204
AL
208100000X
Physical Medicine & Rehabilitation Physician
31801
AL
Other
Enumeration date
12/09/2016
Last updated
05/31/2018
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