| Nathan Valentine, M.d., Pllc | |
| 
					2308 Nw 158th St Edmond OK 73013-9763  | |
| (405) 887-6515 | |
| (866) 707-6724 | 
| Full Name | Nathan Valentine, M.d., Pllc | 
|---|---|
| Speciality | Family Medicine | 
| Location | 2308 Nw 158th St, Edmond, Oklahoma | 
| Authorized Official Name and Position | Nathan Isaac Valentine (PRESIDENT) | 
| Authorized Official Contact | 4058876515 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Nathan Valentine, M.d., Pllc Po Box 5448 Edmond OK 73083-5448 Ph: (405) 887-6515  | Nathan Valentine, M.d., Pllc 2308 Nw 158th St Edmond OK 73013-9763 Ph: (405) 887-6515  | 
| NPI Number | 1003051764 | 
|---|---|
| Provider Enumeration Date | 12/10/2008 | 
| Last Update Date | 12/10/2008 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1003051764 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | 26014 (Oklahoma) | Primary | 
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