| Elite Medical And Vitality Llc | |
|
1309 Coffeen Ave Ste 1200 Sheridan WY 82801-5777 | |
| (559) 331-1649 | |
| Not Available |
| Full Name | Elite Medical And Vitality Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1309 Coffeen Ave Ste 1200, Sheridan, Wyoming |
| Authorized Official Name and Position | David Davis (CEO) |
| Authorized Official Contact | 5593311649 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Medical And Vitality Llc 1309 Coffeen Ave Ste 1200 Sheridan WY 82801-5777 Ph: () - | Elite Medical And Vitality Llc 1309 Coffeen Ave Ste 1200 Sheridan WY 82801-5777 Ph: (559) 331-1649 |
| NPI Number | 1164214821 |
|---|---|
| Provider Enumeration Date | 05/20/2025 |
| Last Update Date | 05/20/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164214821 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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