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Organization

SAMUEL W. VALLERY, M.D., P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SAMUEL W VALLERY MD (OWNER OF CORPORATION)
(501) 609-2300
Entity
Organization

Contact information

Practice address
1 MERCY LN, SUITE 205, HOT SPRINGS, AR 71913-6442
(501) 609-2300
(501) 609-2301
Mailing address
1 MERCY LN, SUITE 205, HOT SPRINGS, AR 71913-6442
(501) 609-2300
(501) 609-2301

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
E0503
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
166792002
AR
Enumeration date
04/23/2008
Last updated
07/09/2008
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