Healthcare Provider Details

I. General information

NPI: 1013528298
Provider Name (Legal Business Name): VALENCE HEALTH CORP PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2020
Last Update Date: 03/22/2023
Certification Date: 03/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1016 W SPRUCE ST UNIT A
RAWLINS WY
82301-5371
US

IV. Provider business mailing address

PO BOX 1687
RAWLINS WY
82301-1687
US

V. Phone/Fax

Practice location:
  • Phone: 307-328-5595
  • Fax: 307-328-5561
Mailing address:
  • Phone: 702-453-3799
  • Fax: 702-453-5741

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: STEPHANIE CHIU
Title or Position: OWNER / PROVIDER
Credential: M.D.
Phone: 970-690-2577