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NPI Profile for VITALIS WELLNESS CENTER OF PHOENIX AZ PC in MESA, AZ.
A Brain Injury Medicine physician specializes in disorders of brain function due to injury and disease. These disorders encompass a range of medical, physical, neurologic, cognitive, sensory, and behavioral disorders that result in psychosocial, educational, and vocational consequences.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Brain Injury Medicine |
2084P0301X | 86 | Physician/Neuropsychiatry | |
Child & Adolescent Psychiatry |
2084P0804X | 86 | Physician/Neuropsychiatry | |
Psychiatry |
2084P0800X | 26 | Physician/Psychiatry |
| NPI # | 1497421101 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 08/22/2021 | |
| Last updated | 07/19/2024 - More than a year ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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VITALIS WELLNESS CENTER OF PHOENIX, AZ PC
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VITALIS WELLNESS CENTER OF PHOENIX, AZ PC