Individual
OCTAVIO J. VIDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3550 S VELERO ST, CHANDLER, AZ 85286-2681
(480) 883-8108
Mailing address
PO BOX 847854, DALLAS, TX 75284-7854
(800) 377-8721
(304) 523-2241
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
32673
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
878225
—
AZ
01
—
AZ0768990
BLUECROSS BLUESHIELD
AZ
Enumeration date
02/08/2006
Last updated
03/27/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us