Organization
VITALYZE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HIEN NGYUEN MD., MBA (CEO)
(623) 570-1973
Entity
Organization
Contact information
Practice address
5415 E HIGH ST, PHOENIX, AZ 85054-5460
(623) 570-1973
Mailing address
5415 E HIGH ST, PHOENIX, AZ 85054-5460
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/16/2016
Last updated
08/16/2016
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