Provider Demographics
NPI:1952320855
Name:VETTO, THOMAS A (MD)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:A
Last Name:VETTO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 860
Mailing Address - Street 2:PATIENT BUSINESS OFFICE
Mailing Address - City:WHITERIVER
Mailing Address - State:AZ
Mailing Address - Zip Code:85941-0860
Mailing Address - Country:US
Mailing Address - Phone:928-338-4911
Mailing Address - Fax:928-338-3520
Practice Address - Street 1:200 WEST HOSPITAL DRIVE
Practice Address - Street 2:PATIENT BUSINESS OFFICE
Practice Address - City:WHITERIVER
Practice Address - State:AZ
Practice Address - Zip Code:85941
Practice Address - Country:US
Practice Address - Phone:928-338-4911
Practice Address - Fax:928-338-3520
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ15826207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZE85941Medicare UPIN