Search › Illinois › 101YM0800X
Coleman Vizcarra
NPI 1770831893 · on the registry since 2012
Practice
- Address
- 904 E. Martin Luther King Dr.
Centralia, IL 62801 - Phone
- (618) 533-1391
- Fax
- (618) 533-0012
- Organisation at this address
- Community Resource Center Inc
Community Resource Center Inc.
Community Resource Center Inc.
Community Resource Center Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 78
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Sex
- Male
- Record last updated
- 2012-08-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois