Organization
VITALITY PLUS UROLOGY, LLC
Active
Organization
VITALITY PLUS UROLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL B DECKER MD (MD/OWNER)
(870) 232-5215
Entity
Organization
Contact information
Practice address
140 HIGHWAY 201 N, MOUNTAIN HOME, AR 72653-3158
(870) 232-5215
(870) 232-5240
Mailing address
140 HIGHWAY 201 N, MOUNTAIN HOME, AR 72653-3158
(870) 232-5215
(870) 232-5240
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
12/22/2023
Last updated
12/22/2023
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