Individual
DR. ROLAND CRISOLOGO VIZCONDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7301 ROGERS AVE, FORT SMITH, AR 72903-4100
(479) 314-6000
Mailing address
7301 ROGERS AVE, FORT SMITH, AR 72903-4100
(479) 314-6000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E-8171
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
09/15/2010
Last updated
08/16/2013
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