OCTAVIO J. VIDAL

CHANDLER, AZ
NPI1740253061
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: AZ  32673)
Enumeration Date2006-02-08
Last Update Date2008-03-27
Business Address
-- OCTAVIO J. VIDAL M.D.
3550 S VELERO ST
CHANDLER, AZ 85286-2681
Phone number: 480-883-8108
Mailing Address
-- OCTAVIO J. VIDAL M.D.
PO BOX 847854
DALLAS, TX 75284-7854
Phone number: 800-377-8721
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