Provider Demographics
NPI:1396115804
Name:BIANCO, VALENTINO JOHN III (DO, MPH)
Entity type:Individual
Prefix:DR
First Name:VALENTINO
Middle Name:JOHN
Last Name:BIANCO
Suffix:III
Gender:M
Credentials:DO, MPH
Other - Prefix:
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Mailing Address - Street 1:2400 S AVENUE A
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85364-7127
Mailing Address - Country:US
Mailing Address - Phone:928-336-2400
Mailing Address - Fax:
Practice Address - Street 1:2460 S PARKVIEW LOOP STE 203
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-5358
Practice Address - Country:US
Practice Address - Phone:928-336-2619
Practice Address - Fax:928-336-2618
Is Sole Proprietor?:No
Enumeration Date:2015-09-28
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOTO16786208G00000X
PAOS021203208G00000X
AZ009854208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)