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NPI Code Detail

MEDICARE: DR. JASON VALLS MD

MEDICARE:  DR. JASON  VALLS  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
1207Q00000XFamily Medicine PhysicianMD.205006LA

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 : 1245267244
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JASON VALLS MD
Provider Business Mailing Address
First Line : 806 JEFFERSON TER
Second Line :
City : NEW IBERIA
State : LA
Zip : 70560-5727
Country : US
Telephone Number : 337-365-4945
Fax Number : 337-376-6860
Provider Business Practice Location Address
First Line : 317 DERNIER ST
Second Line :
City : SAINT MARTINVILLE
State : LA
Zip : 70582
Country : US
Telephone Number : 337-342-2566
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2006
Last Update Date : 10/22/2019

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Directions to “ DR. JASON VALLS MD” Practice Location

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