MEDICARE: JOHN D 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	207L00000X	Anesthesiology Physician	21608	CO

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326025222
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN D VALENTINE MD

Provider Business Mailing Address
First Line	:	1551 LARIMER ST APT 904
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80202-1629
Country	:	US
Telephone Number	:	720-530-6757
Fax Number	:	303-575-9484

Provider Business Practice Location Address
First Line	:	1551 LARIMER ST APT 904
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80202-1629
Country	:	US
Telephone Number	:	720-530-6757
Fax Number	:	303-575-9484

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

Provider Enumeration Date	:	12/30/2005
Last Update Date	:	12/03/2010

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