# VITALITY MEDICAL CORP

> 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:** 1881900025
- **Authorized official:** DREW SHOEMAKER (CEO)
- **Authorized official phone:** (314) 556-5775

## Contact information

- **Practice address:** 9051 WATSON RD, SUITE 343, SAINT LOUIS, MO 63126-2240
- **Practice address phone:** (314) 556-5775
- **Mailing address:** 9051 WATSON RD, SUITE 343, SAINT LOUIS, MO 63126-2240

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 108125 | MO | Yes |

## Other

- **Enumeration date:** 08/25/2010
- **Last updated:** 08/25/2010