Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Men's Vitality & Performance

Organization Family Medicine Physician · NPI 1780982561

Men's Vitality & Performance provides Family Medicine Physician services in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2011.

Licensed in
AZ
In the registry since
2011

Practice location Address checks out

4626 E Shea Blvd Ste C230
Phoenix, AZ 85028-3071 Not confirmed with CMS for 15 years — call before visiting
Phone: (602) 314-5119
Fax: (602) 368-4071
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2830 (AZ)

Record details

NPI number1780982561
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Risi — Owner · (602) 314-5119
NPI enumeratedMarch 3, 2011
Last updated in NPPESMarch 3, 2011
Mailing address4626 E Shea Blvd, Suite 230, Phoenix, AZ 85028-3071

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