Organization
ELITE ENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS F VAZQUEZ MD JANNET DE CARDENAS (MANAGER)
(602) 863-1716
Entity
Organization
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
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
10/04/2016
Last updated
01/12/2017
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