Individual
VANESSA DISPENSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 E MCDOWELL RD STE 100, PHOENIX, AZ 85006-2605
(602) 265-8800
Mailing address
1301 E MCDOWELL RD STE 100, PHOENIX, AZ 85006-2605
(602) 265-8800
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00342000
NJ
363A00000X
Physician Assistant
Primary
7492
AZ
363AM0700X
Medical Physician Assistant
7492
AZ
Other
Enumeration date
07/29/2014
Last updated
03/09/2020
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