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Organization
ALBERTA M VALLIS MD PC
Active
Organization
ALBERTA M VALLIS MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERTA M VALLIS MD (DIRECTOR OWNER OF ALBERTA M VALLIS)
(202) 234-5713
Entity
Organization
Contact information
Practice address
1846 PARK ROAD NW, WASHINIGTON, DC 20010
(202) 234-5713
(202) 462-5250
Mailing address
1846 PARK ROAD NW, WASHINIGTON, DC 20010
(202) 234-5713
(202) 462-5250
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD25405
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010987100
—
DC
01
—
786011100
MARYLAND MEDICAID
MD
Enumeration date
07/05/2006
Last updated
05/17/2011
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