Individual
GILBERT G VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1962 E JUAN SANCHEZ BLVD STE C2, SAN LUIS, AZ 85336-0478
(928) 627-4825
Mailing address
PO BOX 669, YUMA, AZ 85366-2329
(928) 342-6500
(928) 627-9105
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3434
AZ
363AM0700X
Medical Physician Assistant
3434
AZ
Other
Enumeration date
07/04/2006
Last updated
10/14/2021
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