Provider Demographics
NPI:1225103542
Name:SMALLEY, VAL STEPHEN (DO)
Entity Type:Individual
Prefix:DR
First Name:VAL
Middle Name:STEPHEN
Last Name:SMALLEY
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:436 AMHERST DR NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87106-1309
Mailing Address - Country:US
Mailing Address - Phone:619-370-7370
Mailing Address - Fax:
Practice Address - Street 1:1 UNIVERSITY OF NEW MEXICO MSC10 5530 DEPT OF RADIOLOGY
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87131
Practice Address - Country:US
Practice Address - Phone:505-272-0011
Practice Address - Fax:505-272-5821
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-21
Last Update Date:2018-06-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NMA-2140-182085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology