Individual
GARRY T VALLIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2699 N 17TH ST, COOS BAY, OR 97420-2134
(541) 266-3600
(541) 269-0708
Mailing address
2699 N 17TH ST, COOS BAY, OR 97420-2134
(541) 266-3600
(541) 269-0708
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G55736
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G557360
—
CA
05
—
500649330
—
OR
01
—
P00770085
RAILROAD MEDICARE
CA
01
—
P01200160
MEDICARE RAILROAD
OR
Enumeration date
08/04/2006
Last updated
03/07/2023
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