Individual
ARNOLD W VALDIVIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1208 BONITA ST, GRANTS, NM 87020-2234
(505) 287-4474
Mailing address
1208 BONITA ST, GRANTS, NM 87020-2234
(505) 287-4474
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
87355
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201010242
PRESBYTERIAN HEALTH CARE
NM
05
—
20628
—
NM
01
—
NM012384
BCBS
NM
Enumeration date
08/29/2006
Last updated
07/16/2008
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