Individual
DR. REBECCA F VICKERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1460 RITCHIE HWY STE 209, ARNOLD, MD 21012-2741
(410) 789-7337
(410) 349-1107
Mailing address
1460 RITCHIE HWY STE 209, ARNOLD, MD 21012-2741
(410) 789-7337
(410) 349-1107
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D52383
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
255400300
—
MD
01
—
38940001
BCBS DC
—
01
—
54698208
BCBS MD
—
01
—
54698209
BCBS MD
—
01
—
7325284
AETNA
—
Enumeration date
01/10/2006
Last updated
06/04/2024
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