VITAL4MEN CHANDLER PLLC
Osteopathic Medicine in Chandler, AZ

License number
Arizona 15568
Category
Osteopathic Medicine
Type
Geriatric Medicine
Owner
Name: KEVIN WRAY
Title: MEMBER
Phone: (623) 399-8606
Address
Address 2
655 S Dobson Rd Bldg. B Suite #216, Chandler, AZ 85224
7707 W Deer Valley Rd STE 115, Peoria, AZ 85382
National Provider ID: 1134550825
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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VITAL4MEN CHANDLER, PLLC

Suite 11 SUITE 115, Peoria, AZ 85382

Registration:
Jul 12, 2013
State ID:
P-1859895-9
Expiration:
PERPETUAL
Members:
Todd Dishon (Member), Suite 11 SUITE 115, Peoria, AZ 85382 (Physical),Kevin Wray (Member), Suite 11 SUITE 115, Peoria, AZ 85382 (Physical)

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