Vital Male Scottsdale LLC

NPI #1821492091 in Scottsdale, Arizona

Provider Information

NPI Number: 1821492091
Entity Type: Organization
Organization Name: Vital Male Scottsdale LLC
Subpart: Yes (part of a larger organization)
Parent Organization: THE MOTHERSHIP LLC
Primary Specialty: Naturopath
Enumeration Date: Oct 17, 2014
Last Updated: Oct 17, 2014

Practice Location

Address: 11000 N SCOTTSDALE RD
Address 2: STE. 145
City: Scottsdale
State: Arizona
ZIP Code: 85254-6130
Phone: (480) 998-4825

Authorized Official

Name: MR. JAMES THOMAS PHILLIPS
Title: PRESIDENT
Phone: (480) 998-4825

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Naturopath	175F00000X	Primary

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