Individual
ERIC J WANNAMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5777 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 301-8000
Mailing address
5777 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
62401
AZ
2085R0202X
Diagnostic Radiology Physician
DR.0064273
CO
Other
Enumeration date
05/28/2015
Last updated
07/26/2023
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