Vital Health Care Llc | |
7707 W Deer Valley Rd Ste 115 Peoria AZ 85382-2101 | |
(623) 218-1515 | |
(623) 399-9958 |
Full Name | Vital Health Care Llc |
---|---|
Speciality | Family Medicine - Adult Medicine |
Location | 7707 W Deer Valley Rd Ste 115, Peoria, Arizona |
Authorized Official Name and Position | Kevin Wray (OWNER) |
Authorized Official Contact | 6232181515 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Vital Health Care Llc 7707 W Deer Valley Rd Ste 115 Peoria AZ 85382-2101 Ph: (623) 218-1515 | Vital Health Care Llc 7707 W Deer Valley Rd Ste 115 Peoria AZ 85382-2101 Ph: (623) 218-1515 |
NPI Number | 1396123733 |
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Provider Enumeration Date | 05/18/2015 |
Last Update Date | 05/18/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396123733 | NPI | - | NPPES |
2747 | Other | AZ | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QA0505X | Family Medicine - Adult Medicine | 2747 (Arizona) | Primary |
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