Vidal Medical Office Plc

NPI 1023112760 - Family Medicine - 207QA0505X

NPI Details
NPI 1023112760
Enumeration Date 09/12/2006
Last Updated 01/25/2010
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name HILDA HILDA
Position OWNER
Phone (520) 423-9699
Fax (520) 423-9599
Practice Location
21300 N JOHN WAYNE PKWY
UNIT 116 BLDG 7
MARICOPA AZ, 85139-8979, US
Phone (520) 423-9699
Fax (520) 423-9599
Business Location
20928 N JOHN WAYNE PKWY
PMB 138
MARICOPA AZ, 85239-2922, US
Phone (520) 423-9699
Fax (520) 423-9599
Toxanomy
Taxonomy Code 207QA0505X
License State
License Number
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According to our database, Vidal Medical Office Plc NPI is 1023112760, taxonomy code is 207QA0505X Vidal Medical Office Plc physically located at 21300 N John Wayne Pkwy, Maricopa AZ, 85139-8979. NPI Number 1033115704 has the healthcare provider type.

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1023112760 NPI number is provided on an as is basis without warranty of any kind. 1023112760 is maintained by the National Plan & Provider Enumeration System. The contents of Vidal Medical Office Plc are for informational purposes only.