Organization
VITALITY MEDSPA, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAY TYLER (OWNER)
(480) 854-8000
Entity
Organization
Contact information
Practice address
4434 E BROWN RD, 102, MESA, AZ 85205-4085
(480) 854-8000
Mailing address
4434 E BROWN RD, 102, MESA, AZ 85205-4085
(480) 854-8000
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/07/2013
Last updated
03/07/2013
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