Organization
VITAVIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL BEAN (DIRECTOR)
(602) 525-0546
Entity
Organization
Contact information
Practice address
700 E BROADWAY BLVD, SUITE 100, TUCSON, AZ 85719-5724
(000) 000-0000
(000) 000-0000
Mailing address
3003 N CENTRAL AVE, SUITE 400, PHOENIX, AZ 85012-2902
(602) 997-1098
(602) 943-1453
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
08/10/2006
Last updated
08/22/2020
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