Individual
ANTHONY M VACA
Active
Individual
ANTHONY M VACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
3598
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002435
BLUE CROSS
SD
05
—
074783100
—
MN
05
—
12242
—
ND
01
—
14787
MIDLANDS CHOICE
SD
01
—
160062
UCARE
MN
05
—
1993774
—
IA
01
—
25001
SANFORD HEALTH PLAN
SD
01
—
260040365
RR MEDICARE
SD
01
—
3598
DAKOTACARE
SD
01
—
37B91VA
CC SYSTEMS/ BLUE PLUS
MN
05
—
46022474340
—
NE
01
—
57108D004
WPS TRICARE
SD
01
—
595989
ARAZ/ AMERICA'S PPO
SD
05
—
7100902
—
SD
05
—
7100903
—
SD
01
—
769191017551
PREFERRED ONE
SD
01
—
92411422904
PRIMEWEST
MN
01
—
HP24839
HEALTHPARTNERS
SD
Enumeration date
02/07/2006
Last updated
10/11/2018
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