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Individual

DR. LUIS R VISOT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
300 SCH MEDICAL PLAZA, POTTSVILLE, PA 17901
(570) 621-9500
(570) 621-9510
Mailing address
300 SCHUYLKILL MEDICAL PLZ, POTTSVILLE, PA 17901-3668
(570) 621-9500
(570) 621-9510

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD035845E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001060620
PA
Enumeration date
01/26/2006
Last updated
08/06/2008
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