| NPI | 1851097406 |
|---|---|
| Doing Business As | VITALITY FAMILY HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | JACOB CHRISTOPHER PETERSON CEO, Physician 308-865-0703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QB0002X Family Medicine, Bariatric Medicine |
| 261QA1903X Clinic/Center, Ambulatory Surgical | |
| 3336C0002X Pharmacy, Clinic Pharmacy | |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2023-02-06 |