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VITAL4MEN CHANDLER PLLC NPI 1134550825


NPI Information

NPI: 1134550825
Provider Name: VITAL4MEN CHANDLER PLLC
Classification: Family Medicine - 207QG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
655 S DOBSON RD
BLDG. B SUITE #216
CHANDLER, AZ
ZIP 85224
Phone: (623) 399-8606
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VITAL4MEN CHANDLER PLLC is a geriatric medicine family medicine in Chandler, AZ. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. VITAL4MEN CHANDLER PLLC NPI is 1134550825. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

655 S DOBSON RD
BLDG. B SUITE #216
CHANDLER, AZ
ZIP 85224-667
Phone: (623) 399-8606
Fax: (623) 399-9958

The provider's authorized official is Kevin Wray .
The authorized official title is Member and has the following contact phone number (623) 399-8606.

The enumeration date for this NPI number is 12/5/2013 and was last updated on 1/3/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QG0300XFamily MedicineGeriatric Medicine15568ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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