Individual
DALE MARK VALENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9500 S 1300 E, SANDY, UT 84094-3763
(801) 501-2100
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 501-2100
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
173734-1205
UT
Other
Enumeration date
08/31/2006
Last updated
12/07/2015
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