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
1	2085R0202X	Diagnostic Radiology Physician
2	335V00000X	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier

General Provider Information

NPI Number	:	1376017020
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VPA PC

Provider Business Mailing Address
First Line	:	64 E BROADWAY RD STE 200231
Second Line	:
City	:	TEMPE
State	:	AZ
Zip	:	85282-1353
Country	:	US
Telephone Number	:	480-977-6000
Fax Number	:

Provider Business Practice Location Address
First Line	:	64 E BROADWAY RD STE 200231
Second Line	:
City	:	TEMPE
State	:	AZ
Zip	:	85282-1353
Country	:	US
Telephone Number	:	480-977-6000
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. WILLIAM F SASSER JR.
Credential	:	MD
Telephone Number	:	248-824-6000

Provider Enumeration Date	:	01/16/2019
Last Update Date	:	01/16/2019

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Directions to “VPA PC ” Practice Location

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