Provider Demographics
NPI:1881014751
Name:VALOR HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:VALOR HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN & CEO
Authorized Official - Prefix:
Authorized Official - First Name:GRANT
Authorized Official - Middle Name:A
Authorized Official - Last Name:ROWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-529-2971
Mailing Address - Street 1:1048 E FRY BLVD
Mailing Address - Street 2:SUITE E
Mailing Address - City:SIERRA VISTA
Mailing Address - State:AZ
Mailing Address - Zip Code:85635-2683
Mailing Address - Country:US
Mailing Address - Phone:520-458-9450
Mailing Address - Fax:520-458-9455
Practice Address - Street 1:1048 E FRY BLVD
Practice Address - Street 2:SUITE E
Practice Address - City:SIERRA VISTA
Practice Address - State:AZ
Practice Address - Zip Code:85635-2683
Practice Address - Country:US
Practice Address - Phone:520-458-9450
Practice Address - Fax:520-458-9455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-18
Last Update Date:2016-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Multi-Specialty