Individual
JUAN JOSE VIZCAINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2316 E MEYER BLVD, KANSAS CITY, MO 64132-1136
(816) 912-2100
Mailing address
1010 CARONDELET DR, STE 121, KANSAS CITY, MO 64114-4859
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
30380
OK
208000000X
Pediatrics Physician
30380
OK
Other
Enumeration date
04/28/2014
Last updated
02/13/2024
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