Individual
DR. LOUIS EDUARDO VELASCO III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4545 N HUNT HWY, FLORENCE, AZ 85132
(480) 840-3702
Mailing address
4561 S BANDIT CT, GILBERT, AZ 85297-9612
(480) 219-6474
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
33126
AZ
207P00000X
Emergency Medicine Physician
60615
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
968779
AHCCCS
AZ
Enumeration date
03/15/2007
Last updated
07/23/2018
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