Healthcare Provider Details

I. General information

NPI: 1073433694
Provider Name (Legal Business Name): VALEO MEDICAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

747 N MAIN ST STE C
MOOREFIELD WV
26836-1336
US

IV. Provider business mailing address

1100 9TH ST SUITE UPPER E
VIENNA WV
26105-2176
US

V. Phone/Fax

Practice location:
  • Phone: 304-538-8000
  • Fax: 305-538-8014
Mailing address:
  • Phone: 304-916-1293
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KRISTA GAGE
Title or Position: OPERATIONS MANAGER
Credential:
Phone: 304-916-1293