Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ANDREW BENJAMIN VIZCARRA, M.D.
ActivePediatrics · SANDPOINT, ID
Registration Details
- NPI Number
- 1629502265
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 19, 2017 (9.0242378008364 yrs)
- Last Updated
- Apr 23, 2024
- Licenses
-
60530 (TN)M-17696 (ID)
Practice Information
- Address
-
810 SIXTH AVESANDPOINT, ID, 838645396Browse ID providers · Browse ZIP 83864
- Phone
- 2082637101
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- Pediatrics
Other Pediatrics Providers in SANDPOINT, ID
| Name | Credential | NPI |
|---|---|---|
| DR. GEORGE V DELAND | MD | 1518959337 |
| DR. JOHN M SEAMAN | MD | 1700968724 |
| MRS. KATHERINE MAGEE | MD | 1699898817 |
| HARRY RALPH VANDERWAL JR. | MD | 1881803971 |
| TARA LEIGH WEEKS VIZCARRA | M.D. | 1316471717 |
| SHANNON MARIE SECKEL | DO | 1316468002 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.