Individual
MARK VANZO
Active
Individual
MARK VANZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102208222
VA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
0102208222
VA
208D00000X
General Practice Physician
0102208222
VA
Other
Enumeration date
03/01/2022
Last updated
08/04/2026
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