Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | 0S005197L | PA |
NPI | 1366400798 |
---|---|
Provider Name | Dr. Steven John Valentino |
First Address | King Of Prussia, PA 19406-4206 |
Second Address | King Of Prussia, PA 19406-4206 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2006 |
Last Update Date | 23/01/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E70298 | (02) | PA |