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Roger A. Van Atta, M.D.

NPI Number 1275530552

Practice Location

  • 1003 Willow Creek Rd
    Prescott, AZ 86301
  • Phone: (602) 273-6770
  • Fax: (602) 889-0489

Business Location

  • Po Box 29211
    Phoenix, AZ 85038
  • Phone: (602) 273-6770
  • Fax: (602) 889-0489

Other Information

  • Enumeration date: 07/01/2005
  • Last updat date: 12/06/2007
  • NPI deactivation reason code:
  • NPI deactivation date: 01/01/1970
  • Taxonomy code: 207L00000X
  • License number: 8627
  • License number state code: AZ
  • Primary taxonomy switch: Y

Practice Location Map

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NPI number 1275530552 is assigned to Roger A. Van Atta, M.d.. Roger A. Van Atta, M.d. is practice in Prescott, AZ 86301 with phone number 6022736770. The number of page view of Roger A. Van Atta, M.d. is 36.

The NPI number above is maintained by the NPPES. To update the information please contact the National Plan & Provider Enumeration System.

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