Healthcare Provider Details

I. General information

NPI: 1902191992
Provider Name (Legal Business Name): MICHAEL G VALPIANI MD AZ LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2011
Last Update Date: 12/03/2024
Certification Date: 12/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3931 N STOCKTON HILL RD SUITE B
KINGMAN AZ
86409-2426
US

IV. Provider business mailing address

PO BOX 64568
PHOENIX AZ
85082-4568
US

V. Phone/Fax

Practice location:
  • Phone: 928-565-7390
  • Fax: 928-565-7172
Mailing address:
  • Phone: 318-424-4008
  • Fax: 855-230-1466

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL G VALPIANI
Title or Position: OWNER
Credential: MD
Phone: 928-565-7390