Alberta M Vallis Md Pc | |
1846 Park Road Nw Washinigton DC 20010 | |
(202) 234-5713 | |
(202) 462-5250 |
Full Name | Alberta M Vallis Md Pc |
---|---|
Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | 1846 Park Road Nw, Washinigton, District Of Columbia |
Authorized Official Name and Position | Alberta M Vallis (DIRECTOR OWNER OF ALBERTA M VALLIS) |
Authorized Official Contact | 2022345713 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Alberta M Vallis Md Pc 1846 Park Road Nw Washinigton DC 20010 Ph: (202) 234-5713 | Alberta M Vallis Md Pc 1846 Park Road Nw Washinigton DC 20010 Ph: (202) 234-5713 |
NPI Number | 1669402376 |
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Provider Enumeration Date | 07/05/2006 |
Last Update Date | 05/17/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669402376 | NPI | - | NPPES |
010987100 | Medicaid | DC | |
786011100 | Other | MD | MARYLAND MEDICAID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | MD25405 (District Of Columbia) | Primary |