Individual
RICHARD PAUL VALUCK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6500 HOSPITAL DR, HANNIBAL, MO 63401-6890
(573) 629-3300
(573) 629-3314
Mailing address
6500 HOSPITAL DR, HANNIBAL, MO 63401-6890
(573) 629-3300
(573) 629-3314
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
R2P46
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11066
BLUE CROSS/SHIELD PROV.
MO
05
—
203111109
—
MO
Enumeration date
06/01/2005
Last updated
06/10/2011
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