VITAL4MEN CHANDLER PLLC - NPI 1134550825 - Family Medicine in Chandler, AZ

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207QG0300X and a focus in Geriatric Medicine.

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About Vital4men Chandler Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VITAL4MEN CHANDLER PLLC (NPI 1134550825) is a healthcare organization registered as a geriatric medicine in Chandler, Arizona and active in the NPI registry since December 2013. The organization lists Kevin Wray, Member, as its authorized official.

NPPES Registry Identity

NPI1134550825

Entity TypeOrganization

Primary Taxonomy207QG0300X

Legal Business NameVITAL4MEN CHANDLER PLLC

Location Address655 S DOBSON RD, BLDG. B SUITE #216Chandler, AZ 85224-5667

Mailing Address7707 W Deer Valley Rd, Ste 115Peoria, AZ 85382-2101 · (623) 399-8606 · Fax (623) 399-9958

Phone(623) 399-8606

Fax(623) 399-9958

Organization SubpartNo

Authorized OfficialKevin WrayMember · (623) 399-8606

Enumeration DateDecember 5, 2013

Last NPPES UpdateJanuary 3, 2014

✔ NPI 1134550825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QG0300X

License✔ Licensed in AZ · 15568

Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

655 S DOBSON RD, Chandler, AZ 85224

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP