Organization
VITALITY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL ANTONIO MUJICA TRENCHE M.D. (MEDICAL DIRECTOR)
(702) 731-1200
Entity
Organization
Contact information
Practice address
8785 W. WARM SPRINGS RD., SUITE 109, LAS VEGAS, NV 89148-1823
(702) 731-1200
(702) 736-6302
Mailing address
8785 W WARM SPRINGS RD, SUITE 109, LAS VEGAS, NV 89148-1823
(702) 731-1200
(702) 736-6302
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
5456
NV
Other
Enumeration date
02/20/2009
Last updated
02/20/2009
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