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Organization

VITAZI MEDICAL GROUP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ALAN NOLLEY JR. JD (SECRETARY)
(650) 374-9565
Entity
Organization

Contact information

Practice address
3900 PASEO DEL SOL, SANTA FE, NM 87507
(833) 484-8294
Mailing address
3900 PASEO DEL SOL, SANTA FE, NM 87507
(833) 484-8294

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary

Other

Enumeration date
10/31/2024
Last updated
10/31/2024
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