| Vytal Medical Group LLC | |
|
1 N 1st St Ste 700 Phoenix AZ 85004-2364 | |
| (602) 481-9650 | |
| Not Available |
| Full Name | Vytal Medical Group LLC |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1 N 1st St Ste 700, Phoenix, Arizona |
| Authorized Official Name and Position | Joshua Routh (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6024819650 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vytal Medical Group LLC 1 N 1st St Ste 700 Phoenix AZ 85004-2364 Ph: (602) 481-9650 | Vytal Medical Group LLC 1 N 1st St Ste 700 Phoenix AZ 85004-2364 Ph: (602) 481-9650 |
| NPI Number | 1629883749 |
|---|---|
| Provider Enumeration Date | 02/07/2025 |
| Last Update Date | 02/07/2025 |
| Certification Date | 02/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629883749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (NU) | Primary |
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