Organization
VITAL HEALTHCARE SPECIALISTS LLC
Active
Organization
VITAL HEALTHCARE SPECIALISTS LLC
Active
Other names
Vital Healthcare Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
THEOPHILUS AKOH NP (MANAGING PARTNER)
(775) 335-7450
Entity
Organization
Contact information
Practice address
4338 W THOMAS RD # U1, PHOENIX, AZ 85031-3878
(775) 335-7450
Mailing address
4338 W THOMAS RD # U1, PHOENIX, AZ 85031-3878
(775) 335-7450
(602) 825-1739
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
07/14/2020
Last updated
08/31/2021
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