OrganizationActive
Vitalis Wellness Center of Phoenix, Az PC
NPI 1497421101 · Brain Injury Medicine (Psychiatry & Neurology) Physician · Mesa, AZ
Provider details
- NPI number
- 1497421101
- Entity type
- Organization
- Primary specialty
- Brain Injury Medicine (Psychiatry & Neurology) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Nellie Samuel, Co-Owner
Mailing address
1910 S Stapley Dr Ste 120
Mesa, AZ 85204-6676
Registry dates
- Enumerated
- 2021-08-22
- Last updated
- 2024-07-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.