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Contact Information

VITALITY PLUS UROLOGY, LLC
140 HIGHWAY 201 N
MOUNTAIN HOME, AR72653-3158
 Phone: 870-232-5215
 Fax: 870-232-5240
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Non-Pharmacy Dispensing Site

332900000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for VITALITY PLUS UROLOGY, LLC

NPI # 1194594887
LBN Legal business name VITALITY PLUS UROLOGY, LLC
Authorized official DANIEL DECKER - (MD/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/22/2023
Last updated 12/22/2023 - About 2 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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