Individual
DR. JOHN ERIC WANEBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7242 E OSBORN RD STE 420, SCOTTSDALE, AZ 85251-6494
(480) 425-8004
(602) 294-8263
Mailing address
7242 E OSBORN RD STE 420, SCOTTSDALE, AZ 85251-6494
(480) 425-8004
(602) 294-8263
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
35308
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
557150
—
AZ
Enumeration date
03/31/2006
Last updated
02/02/2024
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