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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