VITALITY MEDICAL LLC NPI 1942891205

NPI Information

VITALITY MEDICAL, LLC is a general practice in Billings, MT. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee VITALITY MEDICAL, LLC NPI is 1942891205. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Vitality Medical.

The provider's business location address is:

2060 OVERLAND AVE STE 1A
BILLINGS, MT
ZIP 59102-439
Phone: (406) 855-2422
Fax: (406) 204-5595

The provider's authorized official is Melissa Lynn Fuller .
The authorized official title is Owner and has the following contact phone number (406) 671-0184.

The CLIA number assigned to this NPI record is 27D2185022 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/29/2021 and was last updated on 12/19/2023.

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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