Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | 16003499 | IL |
NPI | 1083712491 |
---|---|
Provider Name | Dr. Valbrun Almonord |
First Address | Columbus, GA 31909-4755 |
Second Address | Fort Benning, GA 31905 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 08/07/2007 |