NPI 1023230844
Marc Taro Ishizuka, DO
Practice location
- Address
- 41 Park Creek Dr VA Outpatient Clinic in Greenville, Greenville, SC 29605-4270
- Phone
- (864) 299-1600
Registered specialties (3)
Psychiatry Physician
Primary
Psychiatry Physician
Psychiatry Physician
Registry record
- NPI
- 1023230844
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 2 May 2007
- Record last updated
- 24 Mar 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.