Individual
CESAREO G VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 S 7TH ST, WILLIAMS, AZ 86046-2324
(928) 635-4441
Mailing address
1441 N 12TH ST, PHOENIX, AZ 85006-2837
(602) 747-4577
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8139
AZ
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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