Organization
VECTOR VIVIFY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUSTIN RAY (OWNER)
(888) 544-3339
Entity
Organization
Contact information
Practice address
6851 OAK HALL LN # 302, COLUMBIA, MD 21045-5846
(800) 966-9150
Mailing address
6851 OAK HALL LN # 302, COLUMBIA, MD 21045-5846
(800) 966-9150
Taxonomy
Speciality
Code
Description
License number
State
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
—
—
Other
Enumeration date
05/17/2019
Last updated
05/17/2019
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