Vizcarra, Rodney T

Vizcarra, Rodney T is an individual health care provider with primary practice located at 100 Mac Lane Avera Medical Group Pierre, Pierre SD 57501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Vizcarra, Rodney T can be contacted via phone (605) 945-5202.

Contact Information

Primary practice address
100 Mac Lane Avera Medical Group Pierre Pierre SD 57501
Phone: (605) 945-5202
Fax: (605) 945-5094
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X SD3621 South Dakota
Allopathic & Osteopathic Physicians / Surgery 208600000X 3621 South Dakota

Profile Details

NPI number 1538122015
LBN Legal business name Vizcarra, Rodney T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2006
Last updated Apr 13th, 2012 - about 14 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 1538122015 NPPES
South Dakota MEDICAID 7301310
South Dakota MEDICAID 7301312

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