Individual
PETER VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4500 S DOBSON RD, INTEL HEALTH FOR LIFE CENTER M/S:OC2-117, CHANDLER, AZ 85248-4907
(216) 288-9650
Mailing address
53393 W CANDLELIGHT RD, MARICOPA, AZ 85239-6309
(216) 288-9650
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
29561
AZ
Other
Enumeration date
05/01/2007
Last updated
12/15/2008
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