Organization
ROGER A. VAN ATTA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER ALAN VAN ATTA M.D. (OWNER)
(602) 273-6770
Entity
Organization
Contact information
Practice address
1003 WILLOW CREEK RD, PRESCOTT, AZ 86301-1641
(928) 445-2700
Mailing address
PO BOX 29211, PHOENIX, AZ 85038-9211
(602) 273-6770
(602) 889-0489
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
AZ
Other
Enumeration date
05/17/2006
Last updated
07/21/2022
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