Organization
VITALITY MEDICAL GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEEPALI RASTOGI MD (CO-OWNER)
(520) 461-1717
Entity
Organization
Contact information
Practice address
7448 N LA CHOLLA BLVD, LA CHOLLA CORPORATE CENTER, TUCSON, AZ 85741-2306
(520) 461-1717
(520) 461-1727
Mailing address
PO BOX 68131, TUCSON, AZ 85737-8131
(520) 461-1717
(520) 461-1727
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/14/2009
Last updated
08/14/2009
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