Most Relevant Information
Provider Data
| NPI Number: | 1003530825 |
| Provider Name: | CHALIE WALVOORD |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/27/2022 |
| Last Updated: | 09/27/2022 |
Provider Practice Location
401 S PINE ST
VALLEY
NE
680649794
Practice Location Phone/Fax
| Phone: | 4023592583 |
| Fax: |
Provider Mailing Location
PO BOX 378
VALLEY
NE
680640378
Provider Mailing Phone/Fax
| Phone: | 4023592583 |
| Fax: |