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NPI Code Detail

MEDICARE: ANTHONY M VIZZINIA

MEDICARE: ANTHONY M VIZZINIA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist

General Provider Information

NPI Number : 1336708999
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANTHONY M VIZZINIA
Provider Business Mailing Address
First Line : 302 4TH ST SW
Second Line :
City : FORT PAYNE
State : AL
Zip : 35967-1840
Country : US
Telephone Number : 256-845-7300
Fax Number : 256-845-7392
Provider Business Practice Location Address
First Line : 302 4TH ST SW
Second Line :
City : FORT PAYNE
State : AL
Zip : 35967-1840
Country : US
Telephone Number : 256-845-7300
Fax Number : 256-845-7392
Authorized Official
Title or Position : FINANCIAL
Name : MELISSA LEANNE ALLEN
Credential :
Telephone Number : 256-845-7300
Provider Enumeration Date : 06/07/2019
Last Update Date : 06/07/2019

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Directions to “ANTHONY M VIZZINIA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.