Individual
DR. VICKIE PETZ KASPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10 RIMROCK RD, RUSSELLVILLE, AR 72802-8828
(479) 970-3775
Mailing address
10 RIMROCK RD, RUSSELLVILLE, AR 72802-8828
(479) 970-3775
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
N-8299
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127666001
—
AR
Enumeration date
04/26/2006
Last updated
07/10/2023
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