Vitality Medical LLC

NPI #1447984265 in Madison, Indiana

Provider Information

NPI Number: 1447984265
Entity Type: Organization
Organization Name: Vitality Medical LLC
Primary Specialty: General Practice
Enumeration Date: Jul 16, 2022
Last Updated: Jul 16, 2022

Practice Location

Address: 110 HOLT DR
City: Madison
State: Indiana
ZIP Code: 47250-3873
Phone: (812) 265-6141

Authorized Official

Name: JOSHUA BRONSON
Title: OWNER
Phone: (616) 204-0074

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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