Individual
MICHAEL DAVE MCVICKER SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
220 N ELM ST, MOUNTAIN VIEW, MO 65548-8644
(417) 934-2273
(417) 934-2232
Mailing address
HC 67 BOX 76, MOUNTAIN VIEW, MO 65548-9005
(417) 934-5055
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN120320
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
424886307
—
MO
Enumeration date
05/31/2005
Last updated
04/06/2020
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