NPI 1790484194
Vitality Plus Urology, LLC
Practice location
- Address
- 140 Highway 201 N, Mountain Home, AR 72653-3158
- Phone
- (870) 232-5215
- Fax
- (870) 232-5240
- Mailing address
- PO Box 2443, Mountain Home, AR 72654-2443
Authorised official
- Name
- Daniel Benjamin Decker
- Title
- Operating Manager
- Phone
- (870) 232-5215
Registered specialties
Urology Physician
Primary
Registry record
- NPI
- 1790484194
- Entity type
- Organization
- NPI issued
- 24 Feb 2023
- Record last updated
- 13 Aug 2024
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.