Individual
DR. PAUL R VANATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6200 N LA CHOLLA BLVD, TUCSON, AZ 85741-3529
(520) 297-7826
(520) 544-0060
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
15955
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263111
—
AZ
01
—
AZ0260290
BLUE CROSS BLUE SHIELD
—
Enumeration date
10/26/2005
Last updated
02/22/2016
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