Individual
JOHN VANDRUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 W CEDAR LN, SUITE A, PAYSON, AZ 85541-5417
(928) 472-4675
(928) 472-3431
Mailing address
3815 E BELL RD STE 4500, PHOENIX, AZ 85032-2171
(602) 633-3838
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15630
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271122
—
AZ
01
—
AZ0850760
BCBS
AZ
Enumeration date
07/14/2005
Last updated
08/01/2024
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