Individual
VICTORIA C VALDECANAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7700 E FLORENTINE RD STE 202, PRESCOTT VALLEY, AZ 86314-2245
(928) 442-8710
(928) 442-8742
Mailing address
PO BOX 10880, PRESCOTT, AZ 86304-0880
(928) 759-5874
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23288
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z110773
MEDICARE PTAN
AZ
Enumeration date
05/05/2006
Last updated
12/06/2022
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