Individual
DR. SUSAN LOUISE VANNUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
9377 E BELL RD STE 143, SCOTTSDALE, AZ 85260-1503
(480) 619-4097
(480) 619-4098
Mailing address
9377 E BELL RD STE 143, SCOTTSDALE, AZ 85260-1503
(480) 619-4097
(480) 619-4098
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
006969
AZ
207VG0400X
Gynecology Physician
Primary
6969
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
290968
—
AZ
Enumeration date
07/30/2006
Last updated
03/17/2018
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