Healthcare Provider Details
I. General information
NPI: 1518386929
Provider Name (Legal Business Name): VALOR HEALTH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/14/2014
Last Update Date: 01/14/2020
Certification Date: 01/14/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2990 N CAMPBELL AVENUE, SUITE 230
TUCSON AZ
85719
US
IV. Provider business mailing address
2990 N CAMPBELL AVENUE, SUITE 230
TUCSON AZ
85719
US
V. Phone/Fax
- Phone: 520-777-7725
- Fax: 520-770-8299
- Phone: 520-529-2971
- Fax: 520-529-2972
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207QA0505X |
| Taxonomy | Adult Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
DAN
PETERSON
Title or Position: CEO
Credential:
Phone: 520-549-8184