Provider Demographics
NPI:1952509085
Name:VALDEZ, MICHAEL CAMPBELL (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:CAMPBELL
Last Name:VALDEZ
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:1900 KILDAIRE FARM RD
Mailing Address - Street 2:ATTN: HOSPITALIST OFFICE
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-6616
Mailing Address - Country:US
Mailing Address - Phone:919-350-1965
Mailing Address - Fax:919-350-1980
Practice Address - Street 1:1900 KILDAIRE FARM RD
Practice Address - Street 2:ATTN: HOSPITALIST OFFICE
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-6616
Practice Address - Country:US
Practice Address - Phone:919-350-1965
Practice Address - Fax:919-350-1980
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-10
Last Update Date:2008-04-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY597621Medicare PIN