Provider Demographics
NPI:1144787276
Name:SPRING VALLEY PEDIATRICS, PLLC
Entity Type:Organization
Organization Name:SPRING VALLEY PEDIATRICS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GUNERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-966-5000
Mailing Address - Street 1:4900 MASSACHUSETTS AVE NW LOWR LEVEL
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-4358
Mailing Address - Country:US
Mailing Address - Phone:202-966-5000
Mailing Address - Fax:202-966-5810
Practice Address - Street 1:4900 MASSACHUSETTS AVE NW LOWR LEVEL
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-4358
Practice Address - Country:US
Practice Address - Phone:202-966-5000
Practice Address - Fax:202-966-5810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-25
Last Update Date:2019-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty