Provider Demographics
NPI:1235201963
Name:VALENTI, ANTHONY L (DPM)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:L
Last Name:VALENTI
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3555 LUTHERAN PKWY
Mailing Address - Street 2:SUITE 230
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-6021
Mailing Address - Country:US
Mailing Address - Phone:303-422-6043
Mailing Address - Fax:303-422-0551
Practice Address - Street 1:3555 LUTHERAN PKWY
Practice Address - Street 2:SUITE 230
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-6021
Practice Address - Country:US
Practice Address - Phone:303-422-6043
Practice Address - Fax:303-422-0551
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2011-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO544213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
COU73898Medicare UPIN