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Individual

JOSEPH L VICKERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
311 S 72ND AVE, YAKIMA, WA 98908-1661
(509) 972-1818
(509) 225-2706
Mailing address
3800 SUMMITVIEW AVE, YAKIMA, WA 98902-2715
(509) 248-7849
(509) 248-8291

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00033180
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8190423
WA
Enumeration date
08/05/2006
Last updated
03/14/2019
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