DALE E VIZCARRA MD

EAGLE BUTTE INDIAN HEALTH SERVICE HOSPITAL

Dr DALE E VIZCARRA MD is a female medical professional, specializing in Family Medicine. She graduated in 1989 from Loma Linda University School Of Medicine.

Contact

EAGLE BUTTE INDIAN HEALTH SERVICE HOSPITAL

24276 166TH AIRPORT RD
EAGLE BUTTE
SD
57625

Tel: 6059647724

DALE E VIZCARRA MD Information

Npi 1992768469
Pac Id 9931192630
Professional Enrollment Id I20160329000294
Last Name VIZCARRA
First Name DALE
Middle Name E
Suffix
Gender F
Credential MD
Medical School Name LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1989
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name EAGLE BUTTE INDIAN HEALTH SERVICE HOSPITAL
Group Practice Pac Id 7517852759
Number Of Group Practice Members 33
Line 1 Street Address 24276 166TH AIRPORT RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City EAGLE BUTTE
State SD
Zip Code 57625
Phone Number 6059647724
Hospital Affiliation Ccn 1 430083
Hospital Affiliation Lbn 1 PHS INDIAN HOSPITAL AT EAGLE BUTTE
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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