Basic Information
Provider Information
NPI: 1962728121
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: VALONE
FirstName: FRANK
MiddleName: HORACE
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3838 CALIFORNIA ST
Address2: RM 715
City: SAN FRANCISCO
State: CA
PostalCode: 941181509
CountryCode: US
TelephoneNumber: 4156688010
FaxNumber:  
Practice Location
Address1: 4921 PARKVIEW PL
Address2: STE 6A/6B/12A
City: SAINT LOUIS
State: MO
PostalCode: 631101032
CountryCode: US
TelephoneNumber: 3145143500
FaxNumber: 3147472598
Other Information
ProviderEnumerationDate: 04/13/2010
LastUpdateDate: 01/15/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/15/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000XA120523CAY Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 
207XS0117X2015005954MON Allopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine

No ID Information.


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