Individual
EDWIN VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC/LAT
Contact information
Practice address
9219 E HIDDEN SPUR TRL STE 100, SCOTTSDALE, AZ 85255-6708
(602) 648-5444
(602) 772-3801
Mailing address
PO BOX 80217, PHOENIX, AZ 85060-0217
(602) 385-2115
(480) 418-3323
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATR-009329
AZ
Other
Enumeration date
03/25/2021
Last updated
07/23/2024
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