Vidal, Octavio J.

Vidal, Octavio J. is an individual health care provider with primary practice located at 3550 S Velero St , Chandler AZ 85286-2681. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Vidal, Octavio J. can be contacted via phone (480) 883-8108.

Contact Information

Primary practice address
3550 S Velero St Chandler AZ 85286-2681
Phone: (480) 883-8108
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 32673 Arizona

Profile Details

NPI number 1740253061
LBN Legal business name Vidal, Octavio J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Mar 27th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740253061 NPPES
Arizona MEDICAID 878225
Arizona Other AZ0768990

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