RESTORE VITALITY CENTER NPI 1447767181

NPI Information

RESTORE VITALITY CENTER is an addiction medicine internal medicine in Phoenix, AZ. The provider is an internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. RESTORE VITALITY CENTER NPI is 1447767181. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Restore Vitality Center.

The provider's business location address is:

8133 W HEATHERBRAE DR
PHOENIX, AZ
ZIP 85033-336
Phone: (602) 814-2559

The provider's authorized official is Michael Nelson .
The authorized official title is Owner/member and has the following contact phone number (602) 814-2559.

The enumeration date for this NPI number is 1/3/2018 and was last updated on 1/3/2018.

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:

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