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Individual

MR. VICTOR DOMINGO VELAZQUEZ JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CAA

Contact information

Practice address
8000 E MAPLEWOOD AVE STE 120, GREENWOOD VILLAGE, CO 80111-4766
(303) 438-3999
(720) 439-9500
Mailing address
PO BOX 840862, DALLAS, TX 75284-0862
(303) 377-7638

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
ANT.0000287
CO
367H00000X
Anesthesiologist Assistant
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1477377356
WI
Enumeration date
11/08/2024
Last updated
06/12/2025
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