Individual
PABLO VALLE-BLACIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1010 CHRISTINE AVE, ANNISTON, AL 36207-5782
(256) 236-5631
Mailing address
PO BOX 1528, ANNISTON, AL 36202
(256) 235-0717
(256) 235-0719
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
20476
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000979
—
AL
Enumeration date
01/11/2006
Last updated
04/30/2024
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