Individual
ROBERT S VALDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4110 BRIARGATE PKWY, SUITE 300, COLORADO SPRINGS, CO 80920-7835
(719) 632-7669
(719) 632-0088
Mailing address
4110 BRIARGATE PKWY, SUITE 300, COLORADO SPRINGS, CO 80920-7835
(719) 632-7669
(719) 632-0088
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
704
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07007040
—
CO
Enumeration date
08/11/2005
Last updated
05/15/2014
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