Provider Demographics
NPI:1164077814
Name:VALOR PALLIATIVECARE LLC
Entity Type:Organization
Organization Name:VALOR PALLIATIVECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:HAROLD
Authorized Official - Last Name:PETERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-545-0856
Mailing Address - Street 1:2990 N CAMPBELL AVE STE 230
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85719-2995
Mailing Address - Country:US
Mailing Address - Phone:520-529-2971
Mailing Address - Fax:520-529-2972
Practice Address - Street 1:2990 N CAMPBELL AVE STE 230
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85719-2995
Practice Address - Country:US
Practice Address - Phone:520-529-2971
Practice Address - Fax:520-529-2972
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-08
Last Update Date:2019-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative MedicineGroup - Single Specialty