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Individual

DR. EDUARDO D. VAZQUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
29133 HEALTH CAMPUS DR, WESTLAKE, OH 44145-5256
(440) 835-6212
(440) 835-6231
Mailing address
7101 HILLCREEK LN, GATES MILLS, OH 44040-9629
(216) 464-9961

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
34-04-1016-V
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0308483
OH
Enumeration date
08/31/2006
Last updated
12/19/2011
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