OrganizationActive
Advanced Spine and Pain PLLC
NPI 1255695490 · Orthopaedic Surgery of the Spine Physician · Stafford, VA
Provider details
- NPI number
- 1255695490
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery of the Spine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Thomas Raley, Owner(703) 522-2727
- License
- 0101243103 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2046 Jefferson Davis Hwy
103
Stafford, VA 22554-7276
Phone: (703) 522-2727
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 62234
Baltimore, MD 21264-2234
Registry dates
- Enumerated
- 2012-07-03
- Last updated
- 2012-08-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.