Individual
VALENA FISCUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
800 W JEFFERSON ST, KIRKSVILLE, MO 63501-1443
(660) 626-2223
Mailing address
800 W JEFFERSON ST, KIRKSVILLE, MO 63501-1443
(660) 626-2223
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036140309
IL
207R00000X
Internal Medicine Physician
Primary
2020031312
MO
207R00000X
Internal Medicine Physician
OT015051
PA
Other
Enumeration date
04/16/2013
Last updated
10/16/2020
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