Provider Demographics
NPI:1407070253
Name:VALKO, ANNE S (MD)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:S
Last Name:VALKO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:5941 GRAYBROOK DR
Mailing Address - Street 2:
Mailing Address - City:EXPORT
Mailing Address - State:PA
Mailing Address - Zip Code:15632-8941
Mailing Address - Country:US
Mailing Address - Phone:724-733-1821
Mailing Address - Fax:724-733-1821
Practice Address - Street 1:5941 GRAYBROOK DR
Practice Address - Street 2:
Practice Address - City:EXPORT
Practice Address - State:PA
Practice Address - Zip Code:15632-8941
Practice Address - Country:US
Practice Address - Phone:724-733-1821
Practice Address - Fax:724-733-1821
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD012274E2081H0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081H0002XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationHospice and Palliative Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAD7139Medicare UPIN