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Individual

PETER A VALEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
2007-01616
NC
207RR0500X
Rheumatology Physician
25471
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
147F4
BCBS
01
202779
MEDCOST
05
31523100
WI
05
3810010166
WV
05
5908043
NC
05
Q0161B
SC
Enumeration date
06/09/2005
Last updated
02/12/2008
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