Individual
JOHN VALENTIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
145 HOSPITAL DR, UKIAH, CA 95482-4591
(707) 462-2227
(707) 462-2547
Mailing address
145 HOSPITAL DR, UKIAH, CA 95482-4591
(707) 462-2227
(707) 462-2547
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G43288
CA
207ND0101X
MOHS-Micrographic Surgery Physician
G43288
CA
207NS0135X
Procedural Dermatology Physician
G43288
CA
Other
Enumeration date
01/31/2007
Last updated
10/01/2007
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