Individual
PHILLIP VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3948 MORSE XING, COLUMBUS, OH 43219-6081
(614) 475-6512
(614) 475-1775
Mailing address
3948 MORSE XING, COLUMBUS, OH 43219-6081
(614) 475-6512
(614) 475-1775
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
S6705
OH
Other
Enumeration date
03/05/2015
Last updated
03/05/2015
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