| Doctor Name: | PETER VASQUEZ |
| NPI Number: | 1679794135 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 29561 |
| Business Practice Address: | 4500 S Dobson Rd Intel Health For Life Center M/s:oc2-117 Chandler, AZ - 852484907 |
| Business Phone Number: | 2162889650 |
| Business Fax Number: | |
| Mailing Address: | 53393 W Candlelight Rd, MARICOPA |
| State: | AZ |
| Postal Code: | 852396309 |
| Phone Number: | 2162889650 |
| Fax Number: | |
| NPI Enumeration Date: | 05/01/2007 |
| NPI Last Update Date: | 12/15/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 29561 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |