Individual
ERIC VANSONNENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 W THOMAS RD, PHOENIX, AZ 85013-4409
(602) 406-3430
(602) 406-4058
Mailing address
3200 N CENTRAL AVE, 9TH FLOOR, PHOENIX, AZ 85012-2425
(602) 406-3729
(602) 798-9412
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
32416
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
919376
—
AZ
Enumeration date
08/18/2006
Last updated
07/09/2007
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