DANA SHAWN VITALE

KINGMAN, AZ
NPI1164450524
Professional NameSEAN VITALE
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: NV  do1678)
Additional Taxonomies204R00000X Electrodiagnostic Medicine
(Licence: AL  DO1275)
207P00000X Emergency Medicine
(Licence: MS  21883)
207P00000X Emergency Medicine
(Licence: GA  067626)
207P00000X Emergency Medicine
(Licence: AZ  4124)
207P00000X Emergency Medicine
(Licence: OK  5514)
207P00000X Emergency Medicine
(Licence: FL  OS11719)
207Q00000X Family Medicine
(Licence: AZ  4124)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2006-06-28
Last Update Date2023-07-13
Business Address
Dr. DANA SHAWN VITALE D.O.
3269 STOCKTON HILL RD
KINGMAN, AZ 86409-3619
Phone number: 928-757-0645
Mailing Address
Dr. DANA SHAWN VITALE D.O.
2837 DIAMOND SPUR ST
KINGMAN, AZ 86401-7848
Phone number: 928-897-2016