Individual
SEAN MICHAEL VALENTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 779-3366
Mailing address
7400 E OSBORN RD, SCOTTSDALE, AZ 85251-6432
(480) 882-4000
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
4178
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5550830001
MEDICARE NSC SCW
AZ
01
—
5550830003
MEDICARE NSC PEORIA
AZ
01
—
5550830004
MEDICARE NSC PV
AZ
01
—
5550830007
MEDICARE NSC DV
AZ
01
—
5550830008
MEDICARE NSC SWV
AZ
01
—
5550830009
MEDICARE NSC AZ NORTH
AZ
01
—
5550830010
MEDICARE NSC GILBERT
AZ
05
—
569798
—
AZ
Enumeration date
09/30/2010
Last updated
09/24/2025
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