| Dr Yamila Goenaga Vazquez, MD | |
|
613 25 Rd, Grand Junction, CO 81505-1590 | |
| (970) 245-1500 | |
| Not Available |
| Full Name | Dr Yamila Goenaga Vazquez |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Location | 613 25 Rd, Grand Junction, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588063200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | DR.0071001 (Colorado) | Primary |
| Entity Name | Epiphany Dermatology Of Colorado Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992297469 PECOS PAC ID: 8921354341 Enrollment ID: O20180627001525 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Yamila Goenaga Vazquez, MD 7300 Ranch Road 2222, Bldg 1, Ste 200, Austin, TX 78730 Ph: (512) 628-0465 | Dr Yamila Goenaga Vazquez, MD 613 25 Rd, Grand Junction, CO 81505-1590 Ph: (970) 245-1500 |
Leroy Arthur Weber, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2655 Little Bookcliff Dr, Grand Junction, CO 81501 Phone: 970-242-7273 Fax: 970-241-2878 | |
Dr. Zachary Taylor Burr, DO Dermatology Medicare: Medicare Enrolled Practice Location: 2515 Foresight Cir Unit 100, Grand Junction, CO 81505 Phone: 801-372-4996 | |
Dr. Matthew R. Donaldson, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2655 Little Bookcliff Dr, Grand Junction, CO 81501 Phone: 970-242-7273 Fax: 970-241-2878 | |
Dr. Caroline West Laggis, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2655 Little Bookcliff Dr, Grand Junction, CO 81501 Phone: 242-727-3970 | |
Dr. Garrett N Mccoy, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2655 Little Bookcliff Dr, Grand Junction, CO 81501 Phone: 970-242-7273 Fax: 970-241-2878 | |
Lewis J Kirkegaard, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2655 Little Bookcliff Dr, Grand Junction, CO 81501 Phone: 970-242-7273 Fax: 970-241-2878 |