Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 16-1543 | AZ |
N | 175F00000X | Naturopath | ND762 | CA |
NPI | 1083088645 |
---|---|
Provider Name | Dr. Erik Vose |
First Address | Tucson, AZ 85739-5931 |
Second Address | Tucson, AZ 85739-5931 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/11/2015 |
Last Update Date | 15/06/2016 |