# VITALITY MEDICAL CARE OF ARIZONA LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730005166
- **Authorized official:** MARK DORNER (MANAGER)
- **Authorized official phone:** (800) 570-8160

## Contact information

- **Practice address:** 11579 E VIA SALIDA, YUMA, AZ 85367-7262
- **Practice address phone:** (800) 570-8160
- **Mailing address:** 11579 E VIA SALIDA, YUMA, AZ 85367-7262

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/29/2026
- **Last updated:** 10/02/2026