Healthcare Provider Details

I. General information

NPI: 1407070253
Provider Name (Legal Business Name): ANNE S VALKO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/12/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5941 GRAYBROOK DR
EXPORT PA
15632-8941
US

IV. Provider business mailing address

5941 GRAYBROOK DR
EXPORT PA
15632-8941
US

V. Phone/Fax

Practice location:
  • Phone: 724-733-1821
  • Fax: 724-733-1821
Mailing address:
  • Phone: 724-733-1821
  • Fax: 724-733-1821

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081H0002X
TaxonomyHospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
License NumberMD012274E
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: