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Individual

MR. JAVIER M VALLEJOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
22 FLEMING DRIVE, HARTS, WV 25524
(304) 855-4595
(304) 529-0780
Mailing address
P.O. BOX 1680, HUNTINGTON, WV 25717-1680
(304) 697-1396
(304) 697-2086

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
11634
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001721259
BC
WV
05
0094185000
WV
05
64694268
KY
Enumeration date
10/17/2005
Last updated
09/17/2013
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