Individual
RICHARD L. VANESIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1313 E OSBORN RD, STE. 213, PHOENIX, AZ 85014-5678
(602) 234-2601
(602) 234-3183
Mailing address
8401 JACK FINNEY BLVD, GREENVILLE, TX 75402-3017
(800) 945-2455
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
21283
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118027145
—
AZ
Enumeration date
06/22/2006
Last updated
05/19/2008
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