| Valena & Valena Pc | |
|
818 W White River Blvd Muncie IN 47303-3868 | |
| (765) 288-6387 | |
| (765) 288-6079 |
| Full Name | Valena & Valena Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 818 W White River Blvd, Muncie, Indiana |
| Authorized Official Name and Position | Jose Valena (OWNER) |
| Authorized Official Contact | 7652886387 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Valena & Valena Pc 818 W White River Blvd Muncie IN 47303-3868 Ph: (765) 288-6387 | Valena & Valena Pc 818 W White River Blvd Muncie IN 47303-3868 Ph: (765) 288-6387 |
| NPI Number | 1659571602 |
|---|---|
| Provider Enumeration Date | 07/18/2007 |
| Last Update Date | 09/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659571602 | NPI | - | NPPES |
| 200432010A | Medicaid | IN | |
| P00019050 | Other | IN | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01033721A (Indiana) | Primary |
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