Elite Medical and Vitality LLC

NPI #1164214821 in Sheridan, Wyoming

Provider Information

NPI Number
1164214821
Entity Type
Organization
Organization Name
Elite Medical and Vitality LLC
Primary Specialty
Family Medicine
Enumeration Date
May 20, 2025
Last Updated
May 20, 2025

Practice Location

Address
1309 COFFEEN AVE STE 1200
State
Wyoming
ZIP Code
82801-5777
Phone
(559) 331-1649

Authorized Official

Name
MR. DAVID DAVIS
Title
CEO
Phone
(559) 331-1649

Specialties & Taxonomy Codes

Specialty
Family Medicine

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