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Individual
DR. ROCKY VANNUCCI
Active
Individual
DR. ROCKY VANNUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1042
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110468718
—
AR
01
—
350008095
RAILROAD MEDICARE
AR
01
—
4420017
UNITED HEALTHCARE
AR
01
—
5362237
AETNA
AR
01
—
59926
BLUE CROSS BLUE SHIELD
AR
01
—
CP43510
UNION PACIFIC RAILROAD
AR
Enumeration date
05/12/2006
Last updated
06/08/2012
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