Individual
DR. PAUL GASTON DEL VALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1320 W MAIN ST, NEWARK, OH 43055-1822
(740) 348-4318
(740) 348-4217
Mailing address
860 E BROAD ST, STE I, ELYRIA, OH 44035-6542
(740) 348-4318
(740) 348-4217
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35.089044
OH
207L00000X
Anesthesiology Physician
82167
GA
207L00000X
Anesthesiology Physician
Primary
MD41045
SC
2083P0901X
Public Health & General Preventive Medicine Physician
35.089044
OH
2083P0901X
Public Health & General Preventive Medicine Physician
41045
SC
2083P0901X
Public Health & General Preventive Medicine Physician
82167
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000598891
ANTHEM
OH
01
—
1003027202
NPI
OH
05
—
2951257
—
OH
Enumeration date
05/28/2007
Last updated
03/04/2019
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