Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Vital4Men, PLLC

Organization General Practice Physician · NPI 1619323045

Vital4Men, PLLC is a General Practice Physician in Mesa, Arizona. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4140 E Baseline Rd Ste 111
Mesa, AZ 85206-4412
Phone: (480) 825-7615
Fax: (480) 248-7658
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1619323045
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Todd Dishon — Partner/Member · (623) 218-1515
NPI enumeratedMay 4, 2016
Last updated in NPPESMay 4, 2016
Mailing address7707 W Deer Valley Rd, Ste 115, Peoria, AZ 85382-2101

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