| Vitegent Healthcare Inc. | |
|
500 E Iowa St Holbrook AZ 86025-2750 | |
| (928) 524-3913 | |
| Not Available |
| Full Name | Vitegent Healthcare Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 500 E Iowa St, Holbrook, Arizona |
| Authorized Official Name and Position | Justin Hickman (PRESIDENT AND CEO) |
| Authorized Official Contact | 3027246217 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitegent Healthcare Inc. 8 The Grn Ste 10294 Dover DE 19901-3618 Ph: (302) 724-6217 | Vitegent Healthcare Inc. 500 E Iowa St Holbrook AZ 86025-2750 Ph: (928) 524-3913 |
| NPI Number | 1215585807 |
|---|---|
| Provider Enumeration Date | 08/28/2019 |
| Last Update Date | 09/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215585807 | NPI | - | NPPES |
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Petrified Forest Medical Center. Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 500 E Iowa St, Holbrook, AZ 86025 Phone: 928-524-3913 |