Organization
VIDAL MEDICAL OFFICE PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HILDA FLORES-VIDAL M.D. (OWNER)
(520) 423-9699
Entity
Organization
Contact information
Practice address
21300 N JOHN WAYNE PKWY, UNIT 116 BLDG 7, MARICOPA, AZ 85139-8979
(520) 423-9699
(520) 423-9599
Mailing address
21300 N JOHN WAYNE PKWY, UNIT 116 BLDG 7, MARICOPA, AZ 85139-8978
(520) 423-9699
(520) 423-9599
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
313021
AHCCCS #
AZ
Enumeration date
09/12/2006
Last updated
04/03/2017
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