VITALITY AGE MANAGEMENT
Osteopathic Medicine at Orange Grove Rd, Tucson, AZ

License number
Arizona 34480
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: DR. MAHESH TIPIRNENI M.
Title: PARTNER
Phone: (800) 300-8464
Address
Address
1845 W Orange Grove Rd SUITE 115, Tucson, AZ 85704
National Provider ID: 1609169465
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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VITALITY AGE MANAGEMENT, P.L.L.C

7448 N Ln Cholla Blvd, Tucson, AZ 85741

Registration:
Aug 31, 2009
State ID:
P-1549158-4
Expiration:
PERPETUAL
Managers:
Vitality Integrative Medica Gr (Manager), 5411 N Indian Trl, Tucson, AZ 85750 (Physical),Mahesh Tipirneni (Manager), 7448 N Ln Cholla Blvd, Tucson, AZ 85741 (Physical)
Agent:
Paul E Willman Esq,6860 N Oracle Rd #160, Tucson, AZ 85704 (Physical)

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