DR. Dale E Vizcarra, MD

NPI #1992768469 in Pierre, South Dakota

Provider Information

NPI Number: 1992768469
Entity Type: Individual
Name: DR. Dale E Vizcarra, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Apr 7, 2006
Last Updated: Apr 27, 2012

Practice Location

Address: 100 MAC LANE
Address 2: AVERA MEDICAL GROUP PIERRE
City: Pierre
State: South Dakota
ZIP Code: 57501
Phone: (605) 224-5901

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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