Individual
DR. FERNANDO VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6601 WEST THOMAS ROAD, PHOENIX, AZ 85033
(602) 243-7277
(623) 247-9742
Mailing address
2702 NORTH 3RD STREET, SUITE 4020, PHOENIX, AZ 85004-4608
(602) 323-3344
(602) 323-3496
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
33587
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
920274
AHCCCS
AZ
05
—
920274
—
AZ
Enumeration date
12/14/2006
Last updated
12/22/2011
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