Individual
DR. PETER WILLIAM VANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 W BETHANY HOME RD, PHOENIX, AZ 85015-2443
(602) 249-0212
Mailing address
9144 S DROMEDARY DR, TEMPE, AZ 85284-3001
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
13430
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078908
—
AZ
01
—
3981220
EYECARE
AZ
01
—
453051001
GROUP HEALTH
AZ
01
—
860373636
HUMANA
AZ
01
—
AW1436
HEALTHNET
AZ
01
—
AZ0728670
BLUE CROSS/BLUE SHIELD
AZ
Enumeration date
11/02/2005
Last updated
06/29/2010
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