TARA VIZCARRA, M.D.

Pediatrics

Active Individual
NPI: 1316471717

Practice Address

810 SIXTH AVE
Sandpoint, ID 83864

Phone: (208) 265-2242

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X No -
Pediatrics 208000000X Yes M-17662 (ID)

Frequently Asked Questions

NPI 1316471717 is the National Provider Identifier for TARA VIZCARRA, M.D., a Pediatrics provider located in Sandpoint, ID. This NPI was enumerated on April 12, 2017.
TARA VIZCARRA, M.D. practices at 810 SIXTH AVE, Sandpoint, ID 83864.

Quick Facts

NPI
1316471717
Type
Individual
Enumerated
Apr 12, 2017
Last Updated
Apr 8, 2024

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