Men'S Vitality Center
LBN: Vitality Internal Medicine - Avondale Pllc
Men'S Vitality Center is an health care organization with primary practice located at 10320 W Mcdowell Rd Ste E5015 , Avondale AZ 85392-4869. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Ambulatory Health Care Facilities / Primary Care. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Vitality Internal Medicine - Avondale Pllc can be contacted via phone (602) 791-9112, or through Evans, Charles Benjamin via phone (602) 791-9112.
Contact Information
Primary practice address
10320 W Mcdowell Rd Ste E5015
Avondale AZ 85392-4869
Phone: (602) 791-9112
Fax:
Website:
Authorized official contact:
Name: Evans, Charles Benjamin Doctor of Medicine (MD)
Phone: (602) 791-9112
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X |
Profile Details
| NPI number | 1194212977 |
|---|---|
| LBN Legal business name | Vitality Internal Medicine - Avondale Pllc |
| DBA Doing business as | Men'S Vitality Center |
| Authorized official | Evans, Charles Benjamin Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 17th, 2018 |
| Last updated | Mar 7th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194212977 | NPPES |
| Arizona | Other | 37616 | MEDICAL LICENSE |
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