MEDICARE: VALERIE L HULS DO

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	207N00000X	Dermatology Physician	OS9022	FL
2	207N00000X	Dermatology Physician	005078	AZ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
8	P00878147	OTHER	AZ	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4Z2979	OTHER	AZ	HEALTH NET
2	99S007000015	OTHER	AZ	MEDISUN
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	1316054398	OTHER	AZ	BLUE CROSS BLUE SHIELD
5	608497	OTHER	AZ	AHCCCS
6	9426203	OTHER	AZ	AETNA
7	2700764	OTHER	AZ	UNITED HEALTHCARE

General Provider Information

NPI Number	:	1316054398
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VALERIE L HULS DO

Provider Business Mailing Address
First Line	:	13943 N 91ST AVE
Second Line	:	C-101
City	:	PEORIA
State	:	AZ
Zip	:	85381-3629
Country	:	US
Telephone Number	:	623-760-9449
Fax Number	:	623-974-9351

Provider Business Practice Location Address
First Line	:	14537 W INDIAN SCHOOL RD
Second Line	:	#700
City	:	GOODYEAR
State	:	AZ
Zip	:	85395-9243
Country	:	US
Telephone Number	:	623-935-0247
Fax Number	:	623-935-2209

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

Provider Enumeration Date	:	08/24/2006
Last Update Date	:	01/26/2016

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Directions to “ VALERIE L HULS DO” Practice Location

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