Individual
DR. DARREN VICENTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
HWY 264 MP 388, POLACCA, AZ 86042
(928) 737-6000
(928) 737-6001
Mailing address
PO BOX 4000, POLACCA, AZ 86042-4000
(928) 737-6000
(928) 737-6001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36921
CO
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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