Individual
BIANCA J VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10250 N 92ND ST STE 202, SCOTTSDALE, AZ 85258-4518
(480) 454-8182
(480) 499-5558
Mailing address
10250 N 92ND ST STE 202, SCOTTSDALE, AZ 85258-4518
(480) 454-8182
(480) 499-5558
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
104901
MN
208600000X
Surgery Physician
Primary
53356
AZ
208600000X
Surgery Physician
53502
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
637967
—
AZ
05
—
ENROLLED
—
MN
Enumeration date
05/07/2007
Last updated
05/03/2022
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