Organization
VITALITY AGE MANAGEMENT
Active
Other names
VITALITY INTERGRATIVE MEDICAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAHESH TIPIRNENI M. (PARTNER)
18003008464
Entity
Organization
Contact information
Practice address
1845 W ORANGE GROVE RD, SUITE 115, TUCSON, AZ 85704-1134
(800) 300-8464
(966) 567-5331
Mailing address
6890 E SUNRISE DR, SUITE 120-266, TUCSON, AZ 85750-0738
(180) 030-0846
(186) 656-7533
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34480
AZ
Other
Enumeration date
05/26/2011
Last updated
05/26/2011
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