Organization
M R VALLES HEALTHCARE P C INC
Active
Other names
M R VALLES P C INC
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN P VALLES M.D. (PRESIDENT)
(702) 797-0588
Entity
Organization
Contact information
Practice address
9653 MESA RIDGE CT, LAS VEGAS, NV 89129
(702) 232-4210
(702) 453-7005
Mailing address
9653 MESA RIDGE CT, LAS VEGAS, NV 89129
(702) 232-4210
(702) 453-7005
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
10710
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
V104918
MEDICARE GROUP PTAN
NV
Enumeration date
01/03/2007
Last updated
03/09/2015
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