MEDICARE: DR. DAVID AARON VALANCY 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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1528635273
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID AARON VALANCY MD

Provider Business Mailing Address
First Line	:	3000 ARLINGTON AVE
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43614-2595
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3001 SECRETARIAT RD
Second Line	:
City	:	OTTAWA HILLS
State	:	OH
Zip	:	43615-2127
Country	:	US
Telephone Number	:	954-663-7030
Fax Number	:

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

Provider Enumeration Date	:	06/09/2021
Last Update Date	:	06/09/2021

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