Vital Health Care LLC
Family Medicine, Adult Medicine in Peoria, AZ. Organization (NPI-2).
NPI number1396123733
StatusActive
Last updated in NPPESMay 18, 2015
Details
- NPI
- 1396123733
- Entity type
- Organization (NPI-2)
- Legal business name
- Vital Health Care LLC
- Organization subpart
- No
- Enumeration date
- May 18, 2015
- Last updated
- May 18, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QA0505X | Family Medicine, Adult Medicine | 2747 | AZ | Yes |
Practice location
7707 W Deer Valley Rd Ste 115Peoria, AZ 85382-2101
Phone 623-218-1515 · Fax 623-399-9958
Mailing address
7707 W Deer Valley Rd Ste 115Peoria, AZ 85382-2101
Phone 623-218-1515 · Fax 623-399-9958
Authorized official
Kevin Wray
Owner
6232181515
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