Individual
DR. FERNANDO E VAZQUEZ ROCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3269 STOCKTON HILL RD., KINGMAN, AZ 86409-3619
(928) 263-4466
Mailing address
3269 N STOCKTON HILL RD, KINGMAN, AZ 86409-3619
(928) 263-4466
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
R4362
AZ
390200000X
Student in an Organized Health Care Education/Training Program
Primary
1407554876
AZ
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
02/15/2023
Last updated
08/01/2025
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