Organization
ELITE MEDICAL AND VITALITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID DAVIS (CEO)
(559) 331-1649
Entity
Organization
Contact information
Practice address
1309 COFFEEN AVE STE 1200, SHERIDAN, WY 82801-5777
(559) 331-1649
Mailing address
1309 COFFEEN AVE STE 1200, SHERIDAN, WY 82801-5777
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/20/2025
Last updated
05/20/2025
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