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Organization

VALLEY FAMILY PHYSICIAN CARE

Active
Other names
SPARKMAN MEDICAL
Organization subpart
No

Provider details

NPI number
Authorized official
RITV KUMAR PAHWA MD (BILLING)
(256) 348-6087
Entity
Organization

Contact information

Practice address
1868 SPARKMAN DR. NW, HUNTSVILLE, AL 35816-1122
(256) 721-9916
(256) 721-9973
Mailing address
1868 SPARKMAN DR. NW, HUNTSVILLE, AL 35816-1122
(256) 721-9916
(256) 721-9973

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
00010377
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009912735
AL
05
529913720
AL
Enumeration date
01/19/2007
Last updated
04/25/2011
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