Individual
SYDNEY VAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2601 E ROOSEVELT ST, PHOENIX, AZ 85008-4973
(602) 344-5011
Mailing address
2929 E THOMAS RD, PHOENIX, AZ 85016-8034
(602) 470-5000
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
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