| Dale Mark Valentine, MD | |
|
9500 S 1300 E, Sandy, UT 84094-3763 | |
| (801) 501-2100 | |
| Not Available |
| Full Name | Dale Mark Valentine |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 9500 S 1300 E, Sandy, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013028901 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 173734-1205 (Utah) | Primary |
| Entity Name | Ihc Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
| Mailing Address | Practice Location Address |
|---|---|
| Dale Mark Valentine, MD Po Box 27128, Salt Lake City, UT 84127-0128 Ph: (801) 501-2100 | Dale Mark Valentine, MD 9500 S 1300 E, Sandy, UT 84094-3763 Ph: (801) 501-2100 |
Tiffany S Glasgow, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9720 S 1300 E, #100, Sandy, UT 84094 Phone: 801-571-8550 | |
Richard K Strong, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9720 S 1300 E, #100, Sandy, UT 84094 Phone: 801-571-8550 | |
Cynthia L Coor, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 10011 S Centennial Pkwy Ste 350, Sandy, UT 84070 Phone: 801-566-5350 | |
Andrea P Edwards, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9450 S 1300 E, Sandy, UT 84094 Phone: 801-501-9933 Fax: 801-571-1689 | |
Dr. David Nils Lofgren, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1434 E 9400 S, Suite 100, Sandy, UT 84093 Phone: 801-572-9369 Fax: 801-572-9677 | |
John Robert Shakula, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9720 S 1300 E, W120, Sandy, UT 84094 Phone: 801-571-0423 Fax: 801-571-0081 |