Individual
MR. IVAN VELAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5777 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 342-2000
Mailing address
5777 E MAYO BLVD, PHOENIX, AZ 85054-4502
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN195012
AZ
163WP2201X
Ambulatory Care Registered Nurse
Primary
RN195012
AZ
Other
Enumeration date
08/06/2025
Last updated
08/06/2025
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