Basic Information
Provider Information
NPI: 1013975887
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: VALENT
FirstName: SCOTT
MiddleName: R
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 500 ELDORADO BLVD
Address2: SUITE 6250
City: BROOMFIELD
State: CO
PostalCode: 800213408
CountryCode: US
TelephoneNumber: 3032720751
FaxNumber: 3033182488
Practice Location
Address1: 3655 LUTHERAN PKWY
Address2: SUITE #201
City: WHEAT RIDGE
State: CO
PostalCode: 800336018
CountryCode: US
TelephoneNumber: 3036039800
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/02/2006
LastUpdateDate: 04/22/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0000X34543CON Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
207UN0901X34543CON Allopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology
207RI0011X34543COY Allopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology

ID Information
IDTypeStateIssuerDescription
0134543805CO MEDICAID


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