Provider Demographics
NPI:1538681556
Name:INTUITUS LLC
Entity Type:Organization
Organization Name:INTUITUS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:BRADLEY
Authorized Official - Last Name:VINSON
Authorized Official - Suffix:
Authorized Official - Credentials:CNIM
Authorized Official - Phone:479-713-0078
Mailing Address - Street 1:PO BOX 158
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72033-0158
Mailing Address - Country:US
Mailing Address - Phone:479-713-0078
Mailing Address - Fax:
Practice Address - Street 1:1455 STATE ROUTE 76
Practice Address - Street 2:
Practice Address - City:WILLOW SPRINGS
Practice Address - State:MO
Practice Address - Zip Code:65793-8237
Practice Address - Country:US
Practice Address - Phone:609-380-3305
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MORRISON MEDICAL ENTERPRISES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-07-11
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes204R00000XAllopathic & Osteopathic PhysiciansElectrodiagnostic MedicineGroup - Single Specialty