Individual
JOSH C VELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3200 E CAMELBACK RD, STE 180, PHOENIX, AZ 85018-2326
(602) 393-4263
(602) 393-2329
Mailing address
3200 E CAMELBACK RD, STE 180, PHOENIX, AZ 85018
(602) 393-4263
(602) 393-2329
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
01061712A
IN
207X00000X
Orthopaedic Surgery Physician
Primary
36777
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000490593
ANTHEM
IN
01
—
01061712A
STATE LICENSE
IN
05
—
200852480
—
IN
05
—
203476
—
AZ
Enumeration date
07/26/2006
Last updated
12/12/2018
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