Individual
ERIC C VACCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
3126 N CIVIC CENTER PLZ, SCOTTSDALE, AZ 85251-6912
(480) 874-2040
(480) 874-2041
Mailing address
3126 N CIVIC CENTER PLZ, SCOTTSDALE, AZ 85251-6912
(480) 874-2040
(480) 874-2041
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
5324
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
793139
—
AZ
Enumeration date
02/18/2013
Last updated
05/29/2015
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