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Individual

ROBERT DEAN VALLION

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
710 NO EAST STREET, WABASH, IN 46992
(260) 569-2324
(260) 569-2376
Mailing address
950 N MERIDIAN ST, STE 500 PROVIDER ENROLLMENT, INDIANAPOLIS, IN 46204-3908

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
01051793A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000544590
ANTHEM PIN (ICCC)
IN
05
200240780
IN
Enumeration date
06/15/2006
Last updated
11/01/2012
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