Individual
DANIEL E VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1581 DODD DR FL 1, COLUMBUS, OH 43210-1257
(614) 293-2101
(614) 293-9155
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-2101
(614) 293-9155
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
35123608
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0108970
—
OH
Enumeration date
10/26/2007
Last updated
04/24/2019
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