Individual
ROGER VICKERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2200 SW 6TH AVE, TOPEKA, KS 66606-1707
(785) 354-8518
(785) 354-1255
Mailing address
2200 SW 6TH AVE, TOPEKA, KS 66606-1707
(785) 354-8518
(785) 354-1255
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1331813041
KS
Other
Enumeration date
08/24/2006
Last updated
01/06/2014
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