Individual
SIDNEY L VINSON
Active
Individual
SIDNEY L VINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
E-0784
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159039001
—
AR
05
—
200074510A
—
OK
01
—
5N386
AR BC/BS
AR
01
—
P00296903
RR MCR
AR
Enumeration date
06/14/2006
Last updated
06/03/2022
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