Vitality Care Center Pllc

NPI #1114575578 in Prescott, Arizona

Provider Information

NPI Number: 1114575578
Entity Type: Organization
Organization Name: Vitality Care Center Pllc
Primary Specialty: Family Medicine
Enumeration Date: Aug 29, 2019
Last Updated: Mar 10, 2020

Practice Location

Address: 1003 DIVISION ST STE 8
City: Prescott
State: Arizona
ZIP Code: 86301-1657
Phone: (928) 632-0730

Authorized Official

Name: CLARKE KRUGMAN, NP
Title: OWNER
Phone: (928) 713-8385

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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