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NPI Profile for RESTORE VITALITY CENTER in PHOENIX, AZ.
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction Medicine |
207RA0401X | 11 | Physician/Internal Medicine | |
Electrodiagnostic Medicine |
204R00000X | |||
Endocrinology, Diabetes & Metabolism |
207RE0101X | 11 | Physician/Internal Medicine | |
Gastroenterology |
207RG0100X | 10 | Physician/Gastroenterology | |
Neuromuscular Medicine |
2081N0008X | 25 | Physician/Physical Medicine and Rehabilitation | |
Nutrition, Education |
133NN1002X |
| NPI # | 1447767181 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 01/03/2018 | |
| Last updated | 01/03/2018 - About 8 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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RESTORE VITALITY CENTER
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RESTORE VITALITY CENTER