Provider Demographics
NPI:1699897397
Name:VALENTINE, TRUMAN (PSGT)
Entity type:Individual
Prefix:
First Name:TRUMAN
Middle Name:
Last Name:VALENTINE
Suffix:
Gender:M
Credentials:PSGT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2221 E NORTHERN LIGHTS BLVD
Mailing Address - Street 2:STE 108
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-4103
Mailing Address - Country:US
Mailing Address - Phone:907-277-5337
Mailing Address - Fax:907-272-3650
Practice Address - Street 1:2221 E NORTHERN LIGHTS BLVD
Practice Address - Street 2:STE 108
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-4103
Practice Address - Country:US
Practice Address - Phone:907-277-5337
Practice Address - Fax:907-272-3650
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other