Healthcare Provider Details

I. General information

NPI: 1881014751
Provider Name (Legal Business Name): VALOR HEALTH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2014
Last Update Date: 09/29/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1048 E FRY BLVD SUITE E
SIERRA VISTA AZ
85635-2683
US

IV. Provider business mailing address

1048 E FRY BLVD SUITE E
SIERRA VISTA AZ
85635-2683
US

V. Phone/Fax

Practice location:
  • Phone: 520-458-9450
  • Fax: 520-458-9455
Mailing address:
  • Phone: 520-458-9450
  • Fax: 520-458-9455

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: GRANT A ROWE
Title or Position: CHAIRMAN & CEO
Credential:
Phone: 520-529-2971