Individual
NED F VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 RAILROAD ST W, MISSOULA, MT 59802-4109
(406) 258-4789
(406) 258-4180
Mailing address
323 W ALDER ST, MISSOULA, MT 59802-4123
(406) 258-4789
(406) 285-4180
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5353
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0022780
—
MT
Enumeration date
06/18/2006
Last updated
01/25/2013
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