| Christopher B Valentine Pllc | |
|
4052 Pioneer Pkwy Ste 109 West Valley City UT 84120-2063 | |
| (801) 840-2200 | |
| (801) 840-2208 |
| Full Name | Christopher B Valentine Pllc |
|---|---|
| Speciality | Clinic/center |
| Location | 4052 Pioneer Pkwy Ste 109, West Valley City, Utah |
| Authorized Official Name and Position | Christopher B Valentine (PRESIDENT) |
| Authorized Official Contact | 8018402200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher B Valentine Pllc 4052 Pioneer Pkwy Ste 109 West Valley City UT 84120-2063 Ph: (801) 840-2200 | Christopher B Valentine Pllc 4052 Pioneer Pkwy Ste 109 West Valley City UT 84120-2063 Ph: (801) 840-2200 |
| NPI Number | 1932380490 |
|---|---|
| Provider Enumeration Date | 11/26/2007 |
| Last Update Date | 11/26/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932380490 | NPI | - | NPPES |
| 241026733001 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 54306271205 (Utah) | Primary |
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