Vitality Health

NPI #1043088628 in Garden City, Idaho

Provider Information

NPI Number
1043088628
Entity Type
Organization
Organization Name
Vitality Health
Primary Specialty
Surgery
Enumeration Date
Dec 13, 2023
Last Updated
Dec 13, 2023

Practice Location

Address
10557 W CARLTON BAY DR STE 106
State
Idaho
ZIP Code
83714-5200
Phone
(304) 617-1511

Authorized Official

Name
ASHLEY W BENNETT, MD
Title
OWNER PROVIDER
Phone
(304) 617-1511

Specialties & Taxonomy Codes

Specialty
Surgery

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