Jack D Vick, MD
NPI #1538242219 in Fort Sumner, New Mexico
Provider Information
- NPI Number
- 1538242219
- Entity Type
- Individual
- Name
- Jack D Vick, MD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Family Medicine
- Credential
- MD
- Enumeration Date
- Oct 24, 2006
- Last Updated
- May 19, 2009
Practice Location
- Address
- 546 N. 10TH STREET
- City
- Fort Sumner
- State
- New Mexico
- ZIP Code
- 88119-0349
- Phone
- (575) 355-2414
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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