Organization
ELIZABETH L VITO PLLC
Active
Organization
ELIZABETH L VITO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH STEWART PA-C (OWNER)
(480) 694-9442
Entity
Organization
Contact information
Practice address
1589 COLONIAL DR, DURANGO, CO 81303-6459
(480) 694-9442
Mailing address
PO BOX 71939, PHOENIX, AZ 85050-1016
(480) 694-9442
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
3304
AZ
Other
Enumeration date
10/14/2013
Last updated
08/17/2023
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