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Individual

AMY A VIZCARRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 981-7000
(540) 853-0931
Mailing address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 981-7000
(540) 853-0931

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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