Vitality Medical Solutions LLC

NPI #1336976281 in Casper, Wyoming

Provider Information

NPI Number: 1336976281
Entity Type: Organization
Organization Name: Vitality Medical Solutions LLC
Primary Specialty: Physician Assistant
Enumeration Date: Sep 16, 2024
Last Updated: Sep 16, 2024

Practice Location

Address: 2241 FARNUM ST STE 105
City: Casper
State: Wyoming
ZIP Code: 82609-4108
Phone: (307) 689-1831

Authorized Official

Name: LILLIAN D CANNON, PA
Title: MEDICAL DIRECTOR
Phone: (307) 689-1831

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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