Organization
VITAL HEALTHCARE AZ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN TESSMAN (OWNER)
(928) 968-3558
Entity
Organization
Contact information
Practice address
3075 N WINDSONG DR STE A, PRESCOTT VALLEY, AZ 86314-1208
(928) 968-3558
Mailing address
13702 E QUAIL CT, DEWEY, AZ 86327-4494
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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