| Vital Physicians Pllc | |
|
520 Rose Ln Wickenburg AZ 85390-1447 | |
| (702) 453-3799 | |
| (702) 453-5741 |
| Full Name | Vital Physicians Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 520 Rose Ln, Wickenburg, Arizona |
| Authorized Official Name and Position | Jon J Skalecki (SOLE OWNER) |
| Authorized Official Contact | 4012417723 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vital Physicians Pllc 9393 N 90th St Ste 102-557 Scottsdale AZ 85258-5040 Ph: (702) 453-3799 | Vital Physicians Pllc 520 Rose Ln Wickenburg AZ 85390-1447 Ph: (702) 453-3799 |
| NPI Number | 1720438161 |
|---|---|
| Provider Enumeration Date | 06/16/2016 |
| Last Update Date | 11/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720438161 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 51880 (Arizona) | Primary |
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