Individual
MARK MCVICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
2421 LINDEN LN, SILVER SPRING, MD 20910-1230
(301) 585-5347
(301) 585-4383
Mailing address
2421 LINDEN LN, SILVER SPRING, MD 20910-1230
(301) 585-5347
(301) 585-4383
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
CPO 02017
MD
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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