Organization
VITALITY FOOT AND ANKLE INSTITUTE PLLC
Active
Other names
Vitality Advanced Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YEHIA MOHAMED ELEBRASHI DPM (CEO)
(623) 396-9752
Entity
Organization
Contact information
Practice address
26900 N LAKE PLEASANT PKWY STE 202, PEORIA, AZ 85383-1558
(623) 254-7111
(623) 254-7100
Mailing address
26900 N LAKE PLEASANT PKWY STE 202, PEORIA, AZ 85383-1558
(623) 254-7111
(623) 254-7100
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
208D00000X
General Practice Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548615875
—
AZ
Enumeration date
04/06/2020
Last updated
10/13/2023
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