NPI | 1942067111 |
---|---|
Doing Business As | VIBRANT LIFE PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | JAMES DEMOPOULOS SVP & Cto 484-862-3333 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2024-03-04 |
Last Update Date | 2024-03-04 |