EDRED T VIZCARRA

RONAN, MT
NPI1043373111
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: MT  6860)
Enumeration Date2006-12-19
Last Update Date2007-07-08
Business Address
Dr. EDRED T VIZCARRA MD
126 6TH AVE SW
RONAN, MT 59864-2600
Phone number: 406-676-3600
Mailing Address
Dr. EDRED T VIZCARRA MD
48767 ROCKY BUTTE RD
RONAN, MT 59864-8897
Phone number: 406-676-0432
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