Organization
VITAL PHYSICIANS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON J SKALECKI M.D. (SOLE OWNER)
(401) 241-7723
Entity
Organization
Contact information
Practice address
520 ROSE LN, WICKENBURG, AZ 85390-1447
(702) 453-3799
(702) 453-5741
Mailing address
9393 N 90TH ST STE 102-557, SCOTTSDALE, AZ 85258-5040
(702) 453-3799
(702) 453-5741
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
51880
AZ
Other
Enumeration date
06/16/2016
Last updated
11/15/2016
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