Healthcare Provider Details

I. General information

NPI: 1235201963
Provider Name (Legal Business Name): ANTHONY L VALENTI DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/15/2006
Last Update Date: 02/16/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3555 LUTHERAN PKWY SUITE 230
WHEAT RIDGE CO
80033-6021
US

IV. Provider business mailing address

3555 LUTHERAN PKWY SUITE 230
WHEAT RIDGE CO
80033-6021
US

V. Phone/Fax

Practice location:
  • Phone: 303-422-6043
  • Fax: 303-422-0551
Mailing address:
  • Phone: 303-422-6043
  • Fax: 303-422-0551

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number544
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: