Organization
VALHALLA PLACE CLINIC, P.A.
Active
Organization
VALHALLA PLACE CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY HIGHAM (CEO)
(214) 365-6112
Entity
Organization
Contact information
Practice address
6043 HUDSON RD STE 220, WOODBURY, MN 55125-1033
(651) 925-8200
(652) 925-8201
Mailing address
6043 HUDSON RD STE 220, WOODBURY, MN 55125-1033
(651) 925-8200
(652) 925-8201
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
MN
Other
Enumeration date
01/28/2015
Last updated
11/18/2024
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