VITALITY INTERNAL MEDICINE - PHOENIX PLLC

PHOENIX, AZ
NPI1407200868
Entity TypeOrganization
Authorized ContactCHARLES B EVANS
Owner
602-791-9112
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
(Licence: AZ  37616)
Enumeration Date2016-04-21
Last Update Date2016-04-21
Business Address
VITALITY INTERNAL MEDICINE - PHOENIX PLLC
4643 N 12TH ST STE 101
PHOENIX, AZ 85014-4006
Phone number: 602-626-8986
Mailing Address
VITALITY INTERNAL MEDICINE - PHOENIX PLLC
8776 E SHEA BLVD STE B3A-129
SCOTTSDALE, AZ 85260-6629
Phone number: