MEDICARE: DR. FRANK JAVIER VALENZUELA JR. D.C.

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	111N00000X	Chiropractor	7443	AZ

General Provider Information

NPI Number	:	1952486896
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANK JAVIER VALENZUELA JR. D.C.

Provider Business Mailing Address
First Line	:	509 W WETMORE RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85705-1521
Country	:	US
Telephone Number	:	520-219-5700
Fax Number	:	520-219-5704

Provider Business Practice Location Address
First Line	:	1845 W ORANGE GROVE RD
Second Line	:	SUITE # 119
City	:	TUCSON
State	:	AZ
Zip	:	85704-1134
Country	:	US
Telephone Number	:	520-219-5700
Fax Number	:	520-219-5704

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

Provider Enumeration Date	:	10/26/2006
Last Update Date	:	04/03/2017

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