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1194594887
VITALITY PLUS UROLOGY, LLC
MOUNTAIN HOME, AR
NPI
1194594887
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Entity Type
Organization
Authorized Contact
DANIEL B DECKER
Md/Owner
870-232-5215
Organization Subpart ?
No
Primary Taxonomy
332900000X Non-Pharmacy Dispensing Site
Enumeration Date
2023-12-22
Last Update Date
2023-12-22
Business Address
VITALITY PLUS UROLOGY, LLC
140 HIGHWAY 201 N
MOUNTAIN HOME, AR 72653-3158
Phone number: 870-232-5215
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Mailing Address
VITALITY PLUS UROLOGY, LLC
140 HIGHWAY 201 N
MOUNTAIN HOME, AR 72653-3158
Phone number: 870-232-5215
Copy