Vitalis LLC

NPI #1598502973 in Riverton, Utah

Provider Information

NPI Number
1598502973
Entity Type
Organization
Organization Name
Vitalis LLC
Primary Specialty
Nurse Practitioner - Primary Care
Enumeration Date
Jul 11, 2024
Last Updated
Aug 16, 2024

Practice Location

Address
13553 S REDWOOD RD
State
Utah
ZIP Code
84065-5734
Phone
(801) 910-4746

Authorized Official

Name
DR. SHAUN LARSEN, OD
Title
OWNER
Phone
(801) 910-4746

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Primary CarePrimary Care

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