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Organization
DOUGLAS E. VICK, DO M. TAMARIN VICK, DO
Active
Organization
DOUGLAS E. VICK, DO M. TAMARIN VICK, DO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY TAMARIN VICK D.O. (PRACTITIONER)
(859) 873-8044
Entity
Organization
Contact information
Practice address
208 CROSSFIELD DR, VERSAILLES, KY 40383-1468
(859) 873-8044
(859) 873-8045
Mailing address
208 CROSSFIELD DR, VERSAILLES, KY 40383-1468
(859) 873-8044
(859) 873-8045
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
02382
KY
207Q00000X
Family Medicine Physician
02382
KY
208D00000X
General Practice Physician
02383
KY
Other
Enumeration date
03/17/2008
Last updated
03/17/2008
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