IndividualActive
Edred Vizcarra, MD
NPI 1043373111 · Family Medicine Physician · Ronan, MT
Provider details
- NPI number
- 1043373111
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 6860 (MT)
Practice location
126 6th Ave Sw
Ronan, MT 59864-2600
Phone: (406) 676-3600
Fax: (406) 676-3738
Mailing address
48767 Rocky Butte Rd
Ronan, MT 59864-8897
Registry dates
- Enumerated
- 2006-12-19
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.