# VALOR PROGRAM AT EMBRAVE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952145146
- **Authorized official:** DAVID DELSSIGNORE (VALOR CLIENT SERVICES MANAGER)
- **Authorized official phone:** (719) 581-0587

## Contact information

- **Practice address:** 430 GARDEN OF THE GODS RD, COLORADO SPRINGS, CO 80907-4218
- **Practice address phone:** (719) 473-3033
- **Mailing address:** 5465 MARK DABLING BLVD FL 2, COLORADO SPRINGS, CO 80918-3851

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/21/2024
- **Last updated:** 06/21/2024