Organization
VITAL TOTAL HEALTH MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN GREER MD (PRESIDENT)
(925) 915-9314
Entity
Organization
Contact information
Practice address
710 S BROADWAY STE 212, WALNUT CREEK, CA 94596-5219
(925) 388-9800
(925) 888-8555
Mailing address
197 WHISPERING TREES LN, DANVILLE, CA 94526-2427
(925) 915-9314
(925) 888-8555
Taxonomy
Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/10/2019
Last updated
04/10/2019
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