Aleli Vidad Md, INC

NPI #1346514585 in Page, Arizona

Provider Information

NPI Number: 1346514585
Entity Type: Organization
Organization Name: Aleli Vidad Md, INC
Primary Specialty: Specialist
Enumeration Date: Mar 6, 2012
Last Updated: Mar 6, 2012

Practice Location

Address: 501 N. NAVAJO DR
City: Page
State: Arizona
ZIP Code: 86040
Phone: (775) 883-3336

Authorized Official

Name: ALELI FAVILA VIDAD, MD
Title: MD
Phone: (775) 881-8543

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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