| Vitalyze | |
|
5415 E High St Phoenix AZ 85054-5460 | |
| (623) 570-1973 | |
| Not Available |
| Full Name | Vitalyze |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 5415 E High St, Phoenix, Arizona |
| Authorized Official Name and Position | Hien Ngyuen (CEO) |
| Authorized Official Contact | 6235701973 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitalyze 5415 E High St Phoenix AZ 85054-5460 | Vitalyze 5415 E High St Phoenix AZ 85054-5460 Ph: (623) 570-1973 |
| NPI Number | 1376098780 |
|---|---|
| Provider Enumeration Date | 08/16/2016 |
| Last Update Date | 08/16/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376098780 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
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