Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | 49632 | CO |
NPI | 1043283955 |
---|---|
Provider Name | Dr. Edward Valkov |
First Address | Wheat Ridge, CO 80033-6035 |
Second Address | Wheat Ridge, CO 80033-6035 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/02/2006 |
Last Update Date | 04/02/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8043302 | (05) | NJ |
CA509705 | MEDICARE (01) | CA |