MEDICARE: DR. JOHN F VALENTINE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	8142989-1205	UT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144263419
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN F VALENTINE MD

Provider Business Mailing Address
First Line	:	PO BOX 413033
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84141-3033
Country	:	US
Telephone Number	:	801-213-3900
Fax Number	:	801-581-7476

Provider Business Practice Location Address
First Line	:	50 N MEDICAL DR
Second Line	:	SOM 4R118
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84132-2410
Country	:	US
Telephone Number	:	801-581-7802
Fax Number	:	801-581-7476

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2006
Last Update Date	:	12/20/2021

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Directions to “ DR. JOHN F VALENTINE MD” Practice Location

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