Provider Demographics
NPI:1255560710
Name:TAPIA, VINCENT J (PA)
Entity type:Individual
Prefix:
First Name:VINCENT
Middle Name:J
Last Name:TAPIA
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Gender:M
Credentials:PA
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Mailing Address - Street 1:1637 E MONUMENT PLAZA CIR
Mailing Address - Street 2:
Mailing Address - City:CASA GRANDE
Mailing Address - State:AZ
Mailing Address - Zip Code:85222-5600
Mailing Address - Country:US
Mailing Address - Phone:520-426-1512
Mailing Address - Fax:520-426-1750
Practice Address - Street 1:1637 E MONUMENT PLAZA CIR
Practice Address - Street 2:
Practice Address - City:CASA GRANDE
Practice Address - State:AZ
Practice Address - Zip Code:85222-5600
Practice Address - Country:US
Practice Address - Phone:520-426-1512
Practice Address - Fax:520-426-1750
Is Sole Proprietor?:No
Enumeration Date:2009-07-06
Last Update Date:2009-07-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ2400363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant