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1740253061
OCTAVIO J. VIDAL
CHANDLER, AZ
NPI
1740253061
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: AZ 32673)
Enumeration Date
2006-02-08
Last Update Date
2008-03-27
Business Address
-- OCTAVIO J. VIDAL M.D.
3550 S VELERO ST
CHANDLER, AZ 85286-2681
Phone number: 480-883-8108
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Mailing Address
-- OCTAVIO J. VIDAL M.D.
PO BOX 847854
DALLAS, TX 75284-7854
Phone number: 800-377-8721
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