Individual
SUSAN VEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 WEST HOSPITAL DRIVE, WHITERIVER, AZ 85941-0860
(928) 338-4911
Mailing address
2051 EVERGREEN LN D, SHOW LOW, AZ 85901-7928
(928) 537-2200
(928) 537-2204
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0097-01183
NC
207R00000X
Internal Medicine Physician
Primary
35860
AZ
208000000X
Pediatrics Physician
0097-01183
NC
208000000X
Pediatrics Physician
35860
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295993376
—
AZ
05
—
1629236716
—
AZ
05
—
1780614008
—
AZ
05
—
1871523191
—
AZ
05
—
541947
—
AZ
Enumeration date
10/12/2006
Last updated
07/29/2015
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