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NPI Code Detail

MEDICARE: DAVID M VALENZUELA M.D.

MEDICARE:   DAVID M VALENZUELA  M.D.
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
1207Q00000XFamily Medicine Physician30071AZ

Other Identifiers

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

General Provider Information

NPI Number : 1235198607
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID M VALENZUELA M.D.
Provider Business Mailing Address
First Line : 1441 N 12TH ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85006-2837
Country : US
Telephone Number : 602-495-4577
Fax Number : 602-417-3549
Provider Business Practice Location Address
First Line : 3336 E CHANDLER HEIGHTS RD
Second Line : BLDG. A, SUITE 101
City : GILBERT
State : AZ
Zip : 85298-4259
Country : US
Telephone Number : 480-412-5900
Fax Number : 480-890-2997
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2006
Last Update Date : 12/19/2011

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Directions to “ DAVID M VALENZUELA M.D.” Practice Location

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