Healthcare Provider Details

I. General information

NPI: 1912094152
Provider Name (Legal Business Name): VALLEY FAMILY PHYSICIANS, P.L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2006
Last Update Date: 05/16/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 DUNNING STREET
CLAREMONT NH
03743-2530
US

IV. Provider business mailing address

5 DUNNING STREET
CLAREMONT NH
03743-2530
US

V. Phone/Fax

Practice location:
  • Phone: 603-543-1251
  • Fax: 603-542-3558
Mailing address:
  • Phone: 603-543-1251
  • Fax: 603-542-3558

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberNH9702
License Number StateNH

VIII. Authorized Official

Name: ROY M. BARNES
Title or Position: OWNER
Credential: MD
Phone: 603-543-1251