Doctor Name: | DR. ERIC A VENS |
NPI Number: | 1558329706 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 32544 |
Business Practice Address: | 11209 N Tatum Blvd Suite 110 Phoenix, AZ - 850283091 |
Business Phone Number: | 6022488002 |
Business Fax Number: | 6022488399 |
Mailing Address: | Po Box 14687, SCOTTSDALE |
State: | AZ |
Postal Code: | 852674687 |
Phone Number: | 4809918100 |
Fax Number: | 4809221028 |
NPI Enumeration Date: | 05/03/2006 |
NPI Last Update Date: | 10/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | 32544 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |