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Organization

RICHARD A. VALENTINE MD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD A VALENTINE MD (MD)
(334) 297-4883
Entity
Organization

Contact information

Practice address
1615 21ST CT, PHENIX CITY, AL 36867-3727
(334) 297-4883
(334) 297-7937
Mailing address
1615 21ST CT, PHENIX CITY, AL 36867-3727
(334) 297-4883
(334) 297-7937

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8450
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
515-13286
BCBSAL
AL
Enumeration date
12/17/2007
Last updated
12/17/2007
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