IndividualActive
Dane Van Tassel, MD
NPI 1376805044 · Pediatric Radiology Physician · Phoenix, AZ
Provider details
- NPI number
- 1376805044
- Entity type
- Individual
- Primary specialty
- Pediatric Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- R73452 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
2929 E Thomas Rd
Phoenix, AZ 85016
Phone: (602) 470-5000
Fax: (602) 933-1214
Approximate (ZIP-level) locationGet directions
Mailing address
350 W Thomas Rd
Phoenix, AZ 85013-4409
Registry dates
- Enumerated
- 2012-06-08
- Last updated
- 2018-09-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.