Organization · Type 2 NPI
Phoenix Vitality, LLC
General Practice Physician · Leipsic, OH
NPI number
1104776939
Active
Practice location
603 E Main St
Leipsic, OH 45856-1438
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
About NPI 1104776939
Phoenix Vitality, LLC's National Provider Identifier is 1104776939, issued on Jan 31, 2026. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Leipsic, OH. The record was last updated on Jan 31, 2026.