Individual
THANES JASON VANIG
Active
Individual
THANES JASON VANIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
24745
AZ
363AM0700X
Medical Physician Assistant
AZ4503
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
382763
—
AZ
05
—
479929
—
AZ
Enumeration date
10/11/2005
Last updated
08/09/2018
Update your record
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