MEDICARE: VITALIS METABOLIC HEALTH, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RB0002X	Obesity Medicine (Internal Medicine) Physician
2	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1548825581
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VITALIS METABOLIC HEALTH, PLLC

Provider Business Mailing Address
First Line	:	5030 N MAY AVE # 299
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-6010
Country	:	US
Telephone Number	:	405-653-9161
Fax Number	:	405-653-9163

Provider Business Practice Location Address
First Line	:	3555 NW 58TH ST STE 910-W
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-4707
Country	:	US
Telephone Number	:	405-653-9161
Fax Number	:	405-653-9163

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RYAN TODD MORGAN
Credential	:	DO
Telephone Number	:	405-653-9161

Provider Enumeration Date	:	05/06/2019
Last Update Date	:	03/02/2026

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