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Organization
VITUITY - URGENT CARE SERVICES PC
Active
Organization
VITUITY - URGENT CARE SERVICES PC
Active
Other names
Vituity Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
THEOPHILE KOURY MD (PRESIDENT)
(510) 350-2644
Entity
Organization
Contact information
Practice address
2100 POWELL ST STE 400, EMERYVILLE, CA 94608-1826
(510) 350-2644
Mailing address
2100 POWELL ST STE 400, EMERYVILLE, CA 94608-1826
(510) 350-2644
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
10/15/2019
Last updated
04/08/2020
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