Cesareo G Vasquez, M.D.
Individual provider Active NPI Family Medicine Physician · Williams, AZ
NPI 1194806869 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1194806869
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 8139 (AZ)
- Practice address
- 301 S 7TH St
Williams, AZ 86046-2324 - Phone
- (928) 635-4441
- NPI assigned
- Oct 18, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8139 | AZ | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 8139 | AZ | Yes |
Addresses
Primary practice location
301 S 7TH St
Williams, AZ 86046-2324
Mailing address
1441 N 12TH St
Phoenix, AZ 85006-2837
Phone (602) 747-4577
Other providers in Williams, AZ
- Connie Stevens
- Sarah Anne Stoit
- Jody Tatro
- Melissa Tohlakai
- Andrea R. Trujillo
- Kristine Kay Vasquez
- Matt P Vestal
- Williams Health Care Center
- Williams Unified School District #2
All providers in Williams, AZ · Family Medicine Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.