| NPI | 1447767181 |
|---|---|
| Doing Business As | RESTORE VITALITY CENTER |
| Entity Type | Organization |
| Authorized Contact | MICHAEL NELSON Owner/Member 602-814-2559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine |
| Additional Taxonomies | 204R00000X Electrodiagnostic Medicine |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine | |
| 133NN1002X Nutritionist, Nutrition, Education | |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2018-01-03 |