Healthcare Provider Details

I. General information

NPI: 1376017020
Provider Name (Legal Business Name): VPA PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2019
Last Update Date: 01/16/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

64 E BROADWAY RD STE 200231
TEMPE AZ
85282-1353
US

IV. Provider business mailing address

64 E BROADWAY RD STE 200231
TEMPE AZ
85282-1353
US

V. Phone/Fax

Practice location:
  • Phone: 480-977-6000
  • Fax:
Mailing address:
  • Phone: 480-977-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335V00000X
TaxonomyPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. WILLIAM F SASSER JR.
Title or Position: OWNER
Credential: MD
Phone: 248-824-6000