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Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Administrator |
163WA2000X |
| NPI # | 1063356202 |
| LBN Legal business name | VITALSPAN MEDICAL CENTER |
| Authorized official | ANTONIO ANEZ - (ADMINISTRATION) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 04/17/2026 |
| Last updated | 04/17/2026 - About 2 months ago |
| Identifiers | n/a |
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VITALSPAN MEDICAL CENTER
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VITALSPAN MEDICAL CENTER