Vitality Medical Corp

NPI 1881900025 - Family Medicine - 207Q00000X

NPI Details
NPI 1881900025
Enumeration Date 08/25/2010
Last Updated 08/25/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name DREW DREW
Position CEO
Phone (314) 556-5775
Fax
Practice Location
9051 WATSON RD
SUITE 343
SAINT LOUIS MO, 63126-2240, US
Phone (314) 556-5775
Fax
Business Location
9051 WATSON RD
SUITE 343
SAINT LOUIS MO, 63126-2240, US
Phone
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Missouri
License Number 108125
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According to our database, Vitality Medical Corp NPI is 1881900025, taxonomy code is 207Q00000X and license number is 108125, license state is located at Missouri. Vitality Medical Corp physically located at 9051 Watson Rd, Saint Louis MO, 63126-2240. NPI Number 1033115704 has the healthcare provider type.

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1881900025 NPI number is provided on an as is basis without warranty of any kind. 1881900025 is maintained by the National Plan & Provider Enumeration System. The contents of Vitality Medical Corp are for informational purposes only.