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Dr. Ricardo Vasquez, MD
Vascular Surgery Physician in Bloomington, Indiana
NPI 1689622573

Ricardo Vasquez is a Vascular Surgery Physician based in Bloomington, IN and is specialized in Vascular Surgery. Ricardo Vasquez practices in Bloomington, IN and has the professional credentials of MD. The NPI Number for Ricardo Vasquez is 1689622573 and holds a License No. 01062063A (Indiana).

The current practice location address for Ricardo Vasquez is 815 W 2Nd St, Bloomington, IN and can be reached out via phone at 812-336-6008 and via fax at 812-339-6947.

Location: 815 W 2Nd St, Bloomington, IN, 47403-2212
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Provider Profile Details
NPI Number
1689622573
Provider Name
Ricardo Vasquez
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
815 W 2Nd St, Bloomington, IN, 47403-2212
Phone Number
812-336-6008
Fax Number
812-339-6947
Provider Enumeration Date
05/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200818170 01 IN MEDICAID GROUP
P00400660 01 IN MEDICARE RAILROAD INDIVIDUAL
200818170A 01 IN MEDICAID INDIVIDUAL
250940 01 IN MEDICARE GROUP
517966 01 IN ANTHEM GROUP
000000517969 01 IN ANTHEM INDIVIDUAL
250940A 01 IN MEDICARE INDIVIDUAL
institution
Provider Business Practice Location Address Details
Address
815 W 2Nd St
City
State
Zip
47403-2212
Phone Number
812-336-6008
Fax Number
812-339-6947
person
Provider Business Mailing Address Details
Address
815 W 2Nd St
City
State
Zip
47403-2212
Phone Number
812-336-6008
Fax Number
812-339-6947
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
License No.
01062063A (Indiana)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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