Individual
DANIEL PESEK VALACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1409 HIGHWAY 201 N, SUITE 1, MOUNTAIN HOME, AR 72653-2953
(870) 508-5010
(870) 508-5020
Mailing address
1409 HIGHWAY 201 N, SUITE 1, MOUNTAIN HOME, AR 72653-2425
(870) 508-5010
(870) 508-5020
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
E3504
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03070018700
QUAL CHOICE
AR
05
—
0574152
—
IA
05
—
149115001
—
AR
05
—
208254300
—
MO
01
—
2115804
FIRST HEALTH
—
01
—
22179
COX HEALTH SYSTEMS
MO
01
—
2294015
CIGNA
—
01
—
5M511
ARKANSAS BLUE CROSS BLUE SHIELD
AR
01
—
655772
HEALTHLINK
MO
01
—
7126443
AETNA
—
01
—
72653 A002
TRICARE
—
Enumeration date
07/22/2005
Last updated
07/03/2013
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