Individual
JACK D VICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
546 N. 10TH STREET, FORT SUMNER, NM 88119-0349
(575) 355-2414
(575) 355-7894
Mailing address
PO BOX 349, FORT SUMNER, NM 88119-0349
(575) 355-2414
(575) 355-7894
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
92371
NM
Other
Enumeration date
10/24/2006
Last updated
05/19/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us