Individual
ALEX VICTOR VAICIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1441 N 12TH ST, PHOENIX, AZ 85006-2837
(602) 521-5969
Mailing address
1404 E MULBERRY ST, PHOENIX, AZ 85014-5662
(630) 405-3381
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/23/2018
Last updated
05/23/2018
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