Organization
VITAL HEALTH ALLIANCE GROUP
Active
Parent organization
VITAL HEALTH ALLIANCE GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
VITAL HEALTH ALLIANCE GROUP
Authorized official
MRS. SERENA BROOKE WILSON APRN (OWNER)
(918) 961-1658
Entity
Organization
Contact information
Practice address
2104 S MAIN ST, GROVE, OK 74344-5356
(918) 999-9339
(918) 238-9990
Mailing address
828 A ST NW, MIAMI, OK 74354-4605
(918) 999-9339
(918) 238-9990
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/15/2026
Last updated
01/15/2026
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