Individual provider · Type 1 NPI
Jorge Salvador Vazquez M.d., MD
General Practice Physician · Lake Ridge, VA
NPI number
1730484908
Active
Practice location
12214 Oakwood Dr
Lake Ridge, VA 22192-1910
Fax (703) 497-1547
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 12669 (PR) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
About NPI 1730484908
Jorge Salvador Vazquez M.d., MD's National Provider Identifier is 1730484908, issued on Jan 20, 2011. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Lake Ridge, VA. The record was last updated on Jan 20, 2011.