NPI 1194212977

Vitality Internal Medicine - Avondale PLLC

Organisation Internal Medicine Physician Avondale, AZ

Practice location

Address: 10320 W McDowell Rd STE E5015, Avondale, AZ 85392-4869
Phone: (602) 791-9112
Mailing address: 111 E Dunlap Ave STE 1-193, Phoenix, AZ 85020-7812

Authorised official

Name: Charles Benjamin Evans
Title: Medical Director
Phone: (602) 791-9112

Registered specialties (2)

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X

Other Internal Medicine providers in Arizona →

Primary Care Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QP2300X

Other Clinic/Center providers in Arizona →

Registry record

NPI: 1194212977
Entity type: Organization
NPI issued: 17 Apr 2018
Record last updated: 7 Mar 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.