| Vital4men Chandler Pllc | |
|
655 S Dobson Rd Bldg. B Suite #216 Chandler AZ 85224-5667 | |
| (623) 399-8606 | |
| (623) 399-9958 |
| Full Name | Vital4men Chandler Pllc |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 655 S Dobson Rd, Chandler, Arizona |
| Authorized Official Name and Position | Kevin Wray (MEMBER) |
| Authorized Official Contact | 6233998606 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vital4men Chandler Pllc 7707 W Deer Valley Rd Ste 115 Peoria AZ 85382-2101 Ph: (623) 399-8606 | Vital4men Chandler Pllc 655 S Dobson Rd Bldg. B Suite #216 Chandler AZ 85224-5667 Ph: (623) 399-8606 |
| NPI Number | 1134550825 |
|---|---|
| Provider Enumeration Date | 12/05/2013 |
| Last Update Date | 01/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134550825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | 15568 (Arizona) | Primary |
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