VITALITY INTERNAL MEDICINE - AVONDALE PLLC

AVONDALE, AZ
NPI1194212977
Other NameMEN'S VITALITY CENTER
Other NameVITALITY INTERNAL MEDICINE
Entity TypeOrganization
Authorized ContactCHARLES BENJAMIN EVANS
Medical Director
602-791-9112
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Additional Taxonomies261QP2300X Clinic/Center, Primary Care
Enumeration Date2018-04-17
Last Update Date2023-03-07
Business Address
VITALITY INTERNAL MEDICINE - AVONDALE PLLC
10320 W MCDOWELL RD STE E5015
AVONDALE, AZ 85392-4869
Phone number: 602-791-9112
Mailing Address
VITALITY INTERNAL MEDICINE - AVONDALE PLLC
111 E DUNLAP AVE STE 1-193
PHOENIX, AZ 85020-7812
Phone number: