| NPI | 1942891205 |
|---|---|
| Former Legal Business Name | VITALITY MEDICAL |
| Doing Business As | VITALITY MEDICAL |
| Entity Type | Organization |
| Authorized Contact | MELISSA LYNN FULLER Owner 406-671-0184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2021-01-29 |
| Last Update Date | 2024-07-24 |