Individual
DR. ERIC ANDREW VIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1311 N MILDRED RD, CORTEZ, CO 81321-2299
(970) 565-6666
Mailing address
1311 N MILDRED RD, CORTEZ, CO 81321-2231
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DR.72300
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/18/2020
Last updated
11/05/2024
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