Organization
VITALIS MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILBERT-JOHN ALVAREZ NMD (OWNER)
(847) 312-8819
Entity
Organization
Contact information
Practice address
5345 E VAN BUREN ST UNIT 377, PHOENIX, AZ 85008-7963
(847) 312-8819
Mailing address
5345 E VAN BUREN ST UNIT 377, PHOENIX, AZ 85008-7963
(847) 312-8819
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
—
—
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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