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NPI Code Detail

MEDICARE: ALLISON VANZANT FP

MEDICARE:   ALLISON  VANZANT  FP
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
1104100000XSocial Worker

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437278785
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON VANZANT FP
Provider Business Mailing Address
First Line : 20702 W GRANT MINE RD
Second Line :
City : WITTMANN
State : AZ
Zip : 85361-9778
Country : US
Telephone Number : 623-810-0725
Fax Number :
Provider Business Practice Location Address
First Line : 20702 W GRANT MINE RD
Second Line :
City : WITTMANN
State : AZ
Zip : 85361-9778
Country : US
Telephone Number : 623-810-0725
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2007
Last Update Date : 07/08/2007

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Directions to “ ALLISON VANZANT FP” Practice Location

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