Organization
VITAL HEALTH ALLIANCE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SERENA WILSON APRN (CEO)
(918) 961-1658
Entity
Organization
Contact information
Practice address
828 A ST NW, MIAMI, OK 74354-4605
(918) 961-1658
Mailing address
828 A ST NW, MIAMI, OK 74354-4605
(918) 961-1658
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/04/2024
Last updated
02/13/2025
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