Organization
VITAZO PLLC
Active
Organization
VITAZO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MBA STEPHEN AZODEH FNP (PRESIDENT)
(602) 281-0373
Entity
Organization
Contact information
Practice address
888 N 1ST AVE, # 419, PHOENIX, AZ 85003-1681
(602) 281-0373
Mailing address
888 N 1ST AVE APT 419, PHOENIX, AZ 85003-1681
(602) 281-0373
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/01/2022
Last updated
09/01/2022
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