Organization · Type 2 NPI

Vitality Internal Medicine - Phoenix PLLC

Primary Care Clinic/Center · Phoenix, AZ

NPI number 1407200868 Active

Practice location

4643 N 12th St, Ste 101
Phoenix, AZ 85014-4006

Call (602) 626-8986 Map

Mailing address

8776 E Shea Blvd, Ste B3A-129
Scottsdale, AZ 85260-6629

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300X37616 (AZ)

Primary Care Clinic/Center: Definition to come...

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About NPI 1407200868

Vitality Internal Medicine - Phoenix PLLC's National Provider Identifier is 1407200868, issued on Apr 21, 2016. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Phoenix, AZ. The record was last updated on Apr 21, 2016.