Doctor Name: | EDUARDO L VINLUAN |
NPI Number: | 1093948192 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 12586 |
Business Practice Address: | 26700 S Us Highway 85 Buckeye, AZ - 853265024 |
Business Phone Number: | 6233866160 |
Business Fax Number: | |
Mailing Address: | 1751 N Litchfield Rd Apt 1134, GOODYEAR |
State: | AZ |
Postal Code: | 853952263 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/24/2009 |
NPI Last Update Date: | 08/24/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 12586 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |