Individual
BERALDO A VAZQUEZ CORREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
825 S MAIN STREET, #B393, TONOPAH, NV 89049
(775) 382-2000
(775) 319-4130
Mailing address
2764 N GREEN VALLEY PKWY # 376, HENDERSON, NV 89014-2120
(702) 374-6949
(702) 616-0657
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5720
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417901901
—
NV
Enumeration date
05/20/2006
Last updated
01/19/2023
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