Individual
VICENTE FIGUEROA-DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PA-C
Contact information
Practice address
19829 N 27TH AVE, PHOENIX, AZ 85027-4001
(623) 505-4479
(623) 505-9880
Mailing address
3655 W ANTHEM WAY, SUITE A-109; PMB 313, ANTHEM, AZ 85086-0430
(623) 505-4479
(623) 505-9880
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
43505
AZ
208M00000X
Hospitalist Physician
Primary
43505
AZ
363AM0700X
Medical Physician Assistant
PA15058
CA
Other
Enumeration date
04/12/2007
Last updated
08/09/2010
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