Vail, Sydney

Vail, Sydney is an individual health care provider with primary practice located at 2601 E Roosevelt St , Phoenix AZ 85008-4973. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Trauma Surgery is his primary health care specialty. Vail, Sydney can be contacted via phone (602) 344-5011.

Contact Information

Primary practice address
2601 E Roosevelt St Phoenix AZ 85008-4973
Phone: (602) 344-5011
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 40934 Arizona
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 40934 Arizona

Profile Details

NPI number 1043273105
LBN Legal business name Vail, Sydney
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Mar 13th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043273105 NPPES
Arizona MEDICAID 368509
Arizona MEDICAID 5886619
Arizona MEDICAID 7307161
Arizona MEDICAID 5886481
Arizona MEDICAID 5886597
Arizona MEDICAID 010039827
Arizona MEDICAID 010019788

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