Individual
DR. PIO VALENZUELA II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
107 GAMMA DRIVE, SUITE 210, PITTSBURGH, PA 15238-2936
(412) 963-6677
(412) 963-6868
Mailing address
107 GAMMA DRIVE, SUITE 210, PITTSBURGH, PA 15238-2936
(412) 963-6677
(412) 963-6868
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
24905
KY
208200000X
Plastic Surgery Physician
4301042756
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03206104
—
NY
05
—
1024359950001
—
PA
01
—
200000001285
PHP PIN #
MI
01
—
2403312691
BCBS INDIVIDUAL PIN
MI
05
—
4847125
—
MI
05
—
7100244120
—
KY
Enumeration date
09/16/2006
Last updated
04/20/2015
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