Healthcare Provider Details

I. General information

NPI: 1255314035
Provider Name (Legal Business Name): JAMES PATRICK VALIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/25/2005
Last Update Date: 01/04/2021
Certification Date: 01/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 ELDORADO BLVD STE 4300
BROOMFIELD CO
80021-3564
US

IV. Provider business mailing address

500 ELDORADO BLVD STE 4300
BROOMFIELD CO
80021-3564
US

V. Phone/Fax

Practice location:
  • Phone: 303-813-5103
  • Fax:
Mailing address:
  • Phone: 303-813-5103
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number38696
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number38696
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: