JACK VICK, MD
Family Medicine
Active
Individual
NPI: 1538242219
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | 92371 (NM) |
Frequently Asked Questions
NPI 1538242219 is the National Provider Identifier for JACK VICK, MD, a Family Medicine provider located in Fort Sumner, NM. This NPI was enumerated on October 24, 2006.
JACK VICK, MD practices at 546 N. 10TH STREET, Fort Sumner, NM 88119.
Quick Facts
- NPI
- 1538242219
- Type
- Individual
- Enumerated
- Oct 24, 2006
- Last Updated
- May 19, 2009
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