Individual
SAMUEL W VALLERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2212 MALVERN AVE, SUITE 8, HOT SPRINGS, AR 71901-8038
(501) 609-2300
(501) 609-2301
Mailing address
704 W GROVE ST STE 1, EL DORADO, AR 71730-4469
(870) 863-2368
(870) 875-6233
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
E0503
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16278000001
QUALCHOICE
—
05
—
166792002
—
AR
01
—
5J718
BCBS
—
01
—
P00470953
RAILROAD MEDICARE PTAN
AR
Enumeration date
08/09/2005
Last updated
09/09/2020
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