Provider Demographics
NPI:1063773778
Name:VALMORES, PHILIP P (DO)
Entity type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:P
Last Name:VALMORES
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7001 FOREST AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23230-1726
Mailing Address - Country:US
Mailing Address - Phone:804-285-6811
Mailing Address - Fax:804-281-7264
Practice Address - Street 1:7001 FOREST AVE STE 103
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23230-1726
Practice Address - Country:US
Practice Address - Phone:804-285-6811
Practice Address - Fax:804-281-7264
Is Sole Proprietor?:No
Enumeration Date:2012-05-30
Last Update Date:2020-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0102203979208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics