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Dr. Michael Richard Vallo, MD
General Practice Physician in Vallejo, California
NPI 1912083650

Michael Richard Vallo is a General Practice Physician based in Petaluma, CA. Michael Richard Vallo practices in Vallejo, CA and has the professional credentials of MD. The NPI Number for Michael Richard Vallo is 1912083650 and holds a License No. G069087 (California).

The current practice location address for Michael Richard Vallo is 1617 Broadway St, Vallejo, CA and can be reached out via phone at 707-556-3794.

Location: 1617 Broadway St, Vallejo, CA, 94952-1008
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912083650
Provider Name
Michael Richard Vallo
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1617 Broadway St, Vallejo, CA, 94952-1008
Phone Number
707-556-3794
Fax Number
Provider Enumeration Date
10/27/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1617 Broadway St
City
Vallejo
State
California
Zip
94590-2406
Phone Number
707-556-3794
Fax Number
person
Provider Business Mailing Address Details
Address
1617 Broadway St
City
Vallejo
State
California
Zip
94590-2406
Phone Number
707-556-3794
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
G069087 (California)
Definition
Definition to come...
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