Provider Demographics
NPI:1679344550
Name:VALOR MEDCAL GROUP
Entity Type:Organization
Organization Name:VALOR MEDCAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:
Authorized Official - Last Name:WILKINSON
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:916-475-2104
Mailing Address - Street 1:2323 PANTHER CREEK RD
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:37814-1778
Mailing Address - Country:US
Mailing Address - Phone:916-475-2104
Mailing Address - Fax:
Practice Address - Street 1:2323 PANTHER CREEK RD
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:TN
Practice Address - Zip Code:37814-1778
Practice Address - Country:US
Practice Address - Phone:916-475-2104
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-10
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care