Whalio Doctors

NPI 1023230844

Marc Taro Ishizuka, DO

Practitioner Psychiatry Physician Greenville, SC

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
Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 2012-01291 (SC)
Psychiatry Physician
Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence OT010508 (PA)
Psychiatry Physician
Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 25MB08244700 (NJ)

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.