# NATHAN VALENTINE, M.D., PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Valentine Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003051764
- **Authorized official:** DR. NATHAN ISAAC VALENTINE M.D. (PRESIDENT)
- **Authorized official phone:** (405) 887-6515

## Contact information

- **Practice address:** 2308 NW 158TH ST, EDMOND, OK 73013-9763
- **Practice address phone:** (405) 887-6515
- **Practice address fax:** (866) 707-6724
- **Mailing address:** PO BOX 5448, EDMOND, OK 73083-5448
- **Mailing address phone:** (405) 887-6515
- **Mailing address fax:** (866) 707-6724

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 26014 | OK | Yes |

## Other

- **Enumeration date:** 12/10/2008
- **Last updated:** 12/10/2008