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NPI Code Detail

MEDICARE: JOSEPH S VALAITIS DO

MEDICARE:   JOSEPH S VALAITIS  DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine PhysicianOP60025015WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1932365277
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH S VALAITIS DO
Provider Business Mailing Address
First Line : 1321 COLBY AVE
Second Line :
City : EVERETT
State : WA
Zip : 98201-1665
Country : US
Telephone Number : 800-962-3303
Fax Number :
Provider Business Practice Location Address
First Line : 3303 S MERIDIAN AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73119-1026
Country : US
Telephone Number : 800-962-3303
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2008
Last Update Date : 05/26/2010

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Directions to “ JOSEPH S VALAITIS DO” Practice Location

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