NPI 1467661157
Vitalsurge LLC
Practice location
- Address
- 702 W 42nd St, Joplin, MO 64804-4564
- Phone
- (417) 206-0105
Authorised official
- Name
- Dick Weber
- Title
- Ceo President
- Phone
- (417) 206-0105
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1467661157
- Entity type
- Organization
- NPI issued
- 21 May 2007
- Record last updated
- 22 Aug 2020
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.