Individual
DR. GREGG A VALENZUELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7702 E PARHAM RD, SUITE 101, RICHMOND, VA 23294-4371
(804) 288-7901
(804) 273-9167
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0101036504
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5857449
—
VA
Enumeration date
05/10/2006
Last updated
05/01/2017
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