Organization
DUILIO VALDIVIA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUILIO VALDIVIA MD (PRESIDENT)
(717) 242-2594
Entity
Organization
Contact information
Practice address
27 SANDY LN, LEWISTOWN, PA 17044-1310
(717) 242-2594
(717) 242-0582
Mailing address
27 SANDY LN, LEWISTOWN, PA 17044-1310
(717) 242-2594
(717) 242-0582
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD022186E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000928225
—
PA
01
—
03076400
PCP CBC
PA
01
—
0400572
RAILROAD MEDICARE
PA
01
—
13837
GEISINGER PCP
PA
01
—
W105
PCP GEISINGER
PA
Enumeration date
03/07/2007
Last updated
07/01/2010
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