Individual
SYDNEY VAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
40934
AZ
2086S0127X
Trauma Surgery Physician
Primary
40934
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010019788
—
VA
05
—
010039827
—
VA
05
—
368509
—
AZ
05
—
5886481
—
VA
05
—
5886597
—
VA
05
—
5886619
—
VA
05
—
7307161
—
VA
Enumeration date
04/10/2006
Last updated
03/13/2017
Update your record
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