| K. Valderhaug Md Pllc | |
|
8603 E Royal Palm Rd Ste 120 Scottsdale AZ 85258-4389 | |
| (480) 485-9385 | |
| (480) 781-4540 |
| Full Name | K. Valderhaug Md Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 8603 E Royal Palm Rd Ste 120, Scottsdale, Arizona |
| Authorized Official Name and Position | Kristen Valderhaug (OWNER) |
| Authorized Official Contact | 4804859385 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| K. Valderhaug Md Pllc Po Box 15356 Scottsdale AZ 85267-5356 Ph: (480) 485-9385 | K. Valderhaug Md Pllc 8603 E Royal Palm Rd Ste 120 Scottsdale AZ 85258-4389 Ph: (480) 485-9385 |
| NPI Number | 1861959702 |
|---|---|
| Provider Enumeration Date | 02/27/2019 |
| Last Update Date | 07/24/2024 |
| Medicare PECOS PAC ID | 8921432691 |
|---|---|
| Medicare Enrollment ID | O20200106001561 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861959702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Kristen L Valderhaug |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104952449 PECOS PAC ID: 2769477033 Enrollment ID: I20040420000049 |
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