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Organization
VITAL HEALTH CARE LLC
Active
Organization
VITAL HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN WRAY (OWNER)
(623) 218-1515
Entity
Organization
Contact information
Practice address
7707 W DEER VALLEY RD STE 115, PEORIA, AZ 85382-2101
(623) 218-1515
(623) 399-9958
Mailing address
7707 W DEER VALLEY RD STE 115, PEORIA, AZ 85382-2101
(623) 218-1515
(623) 399-9958
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
2747
AZ
Other
Enumeration date
05/18/2015
Last updated
05/18/2015
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