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Contact Information

LOUIS E VELASCO III, MD
4545 N HUNT HWY
FLORENCE, AZ85132
 Phone: 480-840-3702
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for LOUIS E VELASCO III · (Male)

NPI Number 1629102363
Status Active
Credentials MD
Entity Individual
Enumeration date 03/15/2007
Last updated 07/23/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # 33126
  • MN License # 60615
  • AZ Other 968779 AHCCCS
Hospital affiliation(s)
  • COBRE VALLEY REGIONAL MEDICAL CENTER - (Critical Access)
    5880 SOUTH HOSPITAL DRIVE
    GLOBE, AZ 85501
  • MOUNTAIN VISTA MEDICAL CENTER LP - (Acute Care)
    1301 SOUTH CRISMON ROAD
    MESA, AZ 85209
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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