NPI | 1194212977 |
---|---|
Other Name | MEN'S VITALITY CENTER |
Other Name | VITALITY INTERNAL MEDICINE |
Entity Type | Organization |
Authorized Contact | CHARLES BENJAMIN EVANS Medical Director 602-791-9112 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2018-04-17 |
Last Update Date | 2023-03-07 |