# VITALITY MEDICAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Vitality Medical, Vitality Medical
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942891205
- **Authorized official:** MELISSA LYNN FULLER DNP (OWNER)
- **Authorized official phone:** (406) 671-0184

## Contact information

- **Practice address:** 2060 OVERLAND AVE STE 1A, BILLINGS, MT 59102-6439
- **Practice address phone:** (406) 855-2422
- **Practice address fax:** (406) 204-5595
- **Mailing address:** 2060 OVERLAND AVE STE 1A, BILLINGS, MT 59102-6439
- **Mailing address phone:** (406) 855-2422
- **Mailing address fax:** (406) 702-1624

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/29/2021
- **Last updated:** 07/24/2024