NPI | 1295370419 |
---|---|
Doing Business As | VITALITY PAIN CARE |
Entity Type | Organization |
Authorized Contact | TAMIA FISHER Credentialing Specialist 812-962-7894 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2019-11-12 |
Last Update Date | 2022-11-02 |