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Vital Pro Health PLLC

Family Medicine in Redmond, WA. Organization (NPI-2).

NPI number1902625775
StatusActive
Last updated in NPPESFeb 25, 2025

Details

NPI
1902625775
Entity type
Organization (NPI-2)
Legal business name
Vital Pro Health PLLC
Organization subpart
No
Enumeration date
Oct 8, 2024
Certification date
Feb 25, 2025
Last updated
Feb 25, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes
207R00000X Internal Medicine––

Practice location

2007 152nd Ave Ne
Redmond, WA 98052-5521

Phone 425-453-6838 · Fax 425-456-0106

Mailing address

2007 152nd Ave Ne
Redmond, WA 98052-5521

Phone 425-453-6838 · Fax 425-456-0106

Authorized official

Yakov Grinberg
Co-Owner
4254536838

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