| Pablo Valle Blacio, Md, Llc | |
|
1101 Christine Ave Anniston AL 36207-4657 | |
| (256) 235-0717 | |
| (256) 235-0719 |
| Full Name | Pablo Valle Blacio, Md, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1101 Christine Ave, Anniston, Alabama |
| Authorized Official Name and Position | Amanda Rooks (OFFICE MANAGER) |
| Authorized Official Contact | 2562350717 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pablo Valle Blacio, Md, Llc 1101 Christine Ave Anniston AL 36207-4657 Ph: (256) 235-0717 | Pablo Valle Blacio, Md, Llc 1101 Christine Ave Anniston AL 36207-4657 Ph: (256) 235-0717 |
| NPI Number | 1104036367 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 12/17/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104036367 | NPI | - | NPPES |
| 000000979 | Medicaid | AL | |
| 51000979 | Other | AL | BLUECROSSBLUESHIELDOFALAB |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 20476 (Alabama) | Primary |
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