Men's Vitality & Performance
Men's Vitality & Performance is a Family Medicine Physician in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2011.
- Licensed in
- AZ
- In the registry since
- 2011
Practice location Address checks out
4626 E Shea Blvd Ste C230Phoenix, AZ 85028-3071
Phone: (602) 314-5119
Fax: (602) 368-4071
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 2830 (AZ) |
|---|
Record details
| NPI number | 1780982561 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | John Risi — Owner · (602) 314-5119 |
| NPI enumerated | March 3, 2011 |
| Last updated in NPPES | March 3, 2011 |
| Mailing address | 4626 E Shea Blvd, Suite 230, Phoenix, AZ 85028-3071 |
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