Individual
PEDRO JIMENEZ VALDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2741 DEBARR RD, STE C-416, ANCHORAGE, AK 99508-2953
(907) 258-4430
(907) 258-4435
Mailing address
PO BOX 84564, SEATTLE, WA 98124-5864
(907) 258-4430
(907) 258-4435
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
3443
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000WFBKK
MCARE ACS GRP
—
01
—
DC1725
RAILROAD MEDICARE
—
05
—
MD1611
—
AK
Enumeration date
12/14/2005
Last updated
08/22/2012
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