Provider Demographics
NPI:1720008949
Name:GILBERT, VALLEY MYERS (MD)
Entity Type:Individual
Prefix:
First Name:VALLEY
Middle Name:MYERS
Last Name:GILBERT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:670 RIO LINDO AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-1827
Mailing Address - Country:US
Mailing Address - Phone:530-899-7120
Mailing Address - Fax:530-899-3647
Practice Address - Street 1:670 RIO LINDO AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-1827
Practice Address - Country:US
Practice Address - Phone:530-899-7120
Practice Address - Fax:530-899-3647
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG85738207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH41260Medicare UPIN