Individual
DR. LUIS VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2340 E BEARDSLEY RD, SUITE 260, PHOENIX, AZ 85024-1285
(602) 802-8240
(602) 802-8245
Mailing address
2340 E BEARDSLEY RD, SUITE 260, PHOENIX, AZ 85024-1285
(602) 802-8240
(602) 802-8245
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
006403
AZ
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
5101018092
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
923114
—
AZ
Enumeration date
06/24/2009
Last updated
01/12/2017
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