Individual
JULIO CESAR VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
777 HOSPITAL WAY, POCATELLO, ID 83201-2753
(208) 239-2850
(208) 239-2589
Mailing address
777 HOSPITAL WAY STE 215, POCATELLO, ID 83201-5162
(208) 239-2580
(208) 239-2589
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
M9688
ID
Other
Enumeration date
11/07/2006
Last updated
03/19/2014
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