Individual
DONALD G VASQUEZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
550 N HILLSIDE ST, WICHITA, KS 67214-4910
(316) 962-3150
(316) 962-7334
Mailing address
PO BOX 47490, WICHITA, KS 67201-7490
(316) 962-3150
(316) 962-7334
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
05-30038
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103127
BLUE CROSS BLUE SHIELD
KS
01
—
203441
HEALTH PARTNERS OF KANSAS
KS
01
—
521880
FIRSTGUARD
KS
Enumeration date
03/14/2006
Last updated
07/08/2007
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