Provider Demographics
NPI:1952486896
Name:VALENZUELA, FRANK JAVIER JR (DC)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:JAVIER
Last Name:VALENZUELA
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:509 W WETMORE RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85705-1521
Mailing Address - Country:US
Mailing Address - Phone:520-219-5700
Mailing Address - Fax:520-219-5704
Practice Address - Street 1:1845 W ORANGE GROVE RD
Practice Address - Street 2:SUITE # 119
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-1134
Practice Address - Country:US
Practice Address - Phone:520-219-5700
Practice Address - Fax:520-219-5704
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2017-04-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ7443111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZV00868Medicare UPIN
AZ102582Medicare ID - Type Unspecified