Healthcare Provider Details

I. General information

NPI: 1730076977
Provider Name (Legal Business Name): VAMOS HEALTH AZ LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2025
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4150 W PEORIA AVE STE 211
PHOENIX AZ
85029-3900
US

IV. Provider business mailing address

3725 W 4100 S STE 107
WEST VALLEY CITY UT
84120-6063
US

V. Phone/Fax

Practice location:
  • Phone: 623-688-2667
  • Fax:
Mailing address:
  • Phone: 502-333-2281
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: SYDNEY BRIGHT
Title or Position: COO
Credential:
Phone: 623-688-2667