Organization · Type 2 NPI

Vital Health Care LLC

Adult Medicine Physician · Peoria, AZ

NPI number 1396123733 Active

Practice location

7707 W Deer Valley Rd Ste 115
Peoria, AZ 85382-2101

Fax (623) 399-9958

Specialties and licenses

TaxonomyCodeLicense
Adult Medicine Physician Primary 207QA0505X2747 (AZ)

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

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About NPI 1396123733

Vital Health Care LLC's National Provider Identifier is 1396123733, issued on May 18, 2015. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Peoria, AZ. The record was last updated on May 18, 2015.