Organization
MELCHIOR PETER VALLONE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELCHIOR PETER VALLONE D.P.M. (OWNER)
(619) 465-3200
Entity
Organization
Contact information
Practice address
5129 GARFIELD ST, LA MESA, CA 91941-5103
(619) 465-3200
(619) 465-3700
Mailing address
5129 GARFIELD ST, LA MESA, CA 91941-5103
(619) 465-3200
(619) 465-3700
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E2201
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E22010
—
CA
Enumeration date
09/20/2006
Last updated
07/13/2011
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