Healthcare Provider Details

I. General information

NPI: 1962553578
Provider Name (Legal Business Name): VALERIE J BALDES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: VALERIE J CORDERO -LENGFELDER

II. Dates (important events)

Enumeration Date: 01/12/2007
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

424 YELLOWSTONE AVE STE 230
CODY WY
82414-9310
US

IV. Provider business mailing address

424 YELLOWSTONE AVE STE 230
CODY WY
82414-9310
US

V. Phone/Fax

Practice location:
  • Phone: 307-578-2975
  • Fax: 307-578-2979
Mailing address:
  • Phone: 307-578-2975
  • Fax: 307-578-2979

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number7876A
License Number StateWY
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD00043851
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD297800
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: