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NPI Code Detail

MEDICARE: VPA PC

MEDICARE: VPA PC
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
1208000000XPediatrics Physician
2208D00000XGeneral Practice Physician
3207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1396380457
Entity Type Code : Organization
Provider Name (Legal Business Name) : VPA PC
Provider Business Mailing Address
First Line : 3420 E SHEA BLVD STE 200
Second Line :
City : PHOENIX
State : AZ
Zip : 85028-3348
Country : US
Telephone Number : 480-977-6000
Fax Number : 248-269-0631
Provider Business Practice Location Address
First Line : 3420 E SHEA BLVD STE 200
Second Line :
City : PHOENIX
State : AZ
Zip : 85028-3348
Country : US
Telephone Number : 480-977-6000
Fax Number : 248-269-0631
Authorized Official
Title or Position : OWNER
Name : WILLIAM F SASSER JR.
Credential : MD
Telephone Number : 248-824-6600
Provider Enumeration Date : 11/13/2019
Last Update Date : 11/13/2019

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Directions to “VPA PC ” Practice Location

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