Individual
AMY A VIZCARRA
Active
Individual
AMY A VIZCARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0102205066
VA
207R00000X
Internal Medicine Physician
2480
TN
208M00000X
Hospitalist Physician
2480
TN
Other
Enumeration date
07/27/2010
Last updated
02/05/2019
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