EDWARD VIDAL

PHOENIX, AZ
NPI1386123305
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AZ  AP11639)
Enumeration Date2018-08-09
Last Update Date2018-11-21
Business Address
EDWARD VIDAL FNP
2331 W CARSON RD
PHOENIX, AZ 85041-6408
Phone number: 602-516-2494
Mailing Address
EDWARD VIDAL FNP
2331 W CARSON RD
PHOENIX, AZ 85041-6408
Phone number:
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