Individual
JOHN PEDUCA VALLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9653 MESA RIDGE CT, LAS VEGAS, NV 89129-7818
(702) 232-4210
(702) 453-7005
Mailing address
9653 MESA RIDGE CT, LAS VEGAS, NV 89129-7818
(702) 232-4210
(702) 453-7005
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
10710
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100505673
—
NV
01
—
CS12434
CS
NV
01
—
V104918
MEDICARE PTAN
NV
Enumeration date
06/12/2006
Last updated
03/07/2023
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