person
Carl Robert Vanselow, PA
Medical Physician Assistant in Phoenix, Arizona
NPI 1730186198

Carl Robert Vanselow is a Medical Physician Assistant based in Phoenix, AZ and is specialized in Medical. Carl Robert Vanselow practices in Phoenix, AZ and has the professional credentials of PA. The NPI Number for Carl Robert Vanselow is 1730186198 and holds a License No. 2309 (Arizona).

The current practice location address for Carl Robert Vanselow is 3805 E Bell Rd, Phoenix, AZ and can be reached out via phone at 602-867-8644 and via fax at 602-795-5698.

Location: 3805 E Bell Rd, Phoenix, AZ, 85032-2136
person
Provider Profile Details
NPI Number
1730186198
Provider Name
Carl Robert Vanselow
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
3805 E Bell Rd, Phoenix, AZ, 85032-2136
Phone Number
602-867-8644
Fax Number
602-795-5698
Provider Enumeration Date
06/30/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
970013946 01 AZ RAILROAD MEDICARE
495920 05 AZ
1Z5306 01 AZ HEALTHNET
institution
Provider Business Practice Location Address Details
Address
3805 E Bell Rd
City
State
Zip
85032-2105
Phone Number
602-867-8644
Fax Number
602-795-5698
person
Provider Business Mailing Address Details
Address
3805 E Bell Rd
City
State
Zip
85032-2105
Phone Number
602-867-8644
Fax Number
602-795-5698
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
2309 (Arizona)
Definition
Definition to come...
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