Individual
NICHOLAS F VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1955 W FRYE RD, CHANDLER, AZ 85224-6282
(480) 728-3000
Mailing address
2140 W MARLIN DR, CHANDLER, AZ 85286-6787
(203) 645-3926
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
33930
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
544602
—
AZ
01
—
P00033438
RR MEDICARE
AZ
Enumeration date
08/03/2006
Last updated
07/21/2022
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