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Individual

VICKI L MACY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
700 E MANITOBA AVE, STE 109, ELLENSBURG, WA 98926-3885
(509) 933-8720
Mailing address
2221 ELM ST, RAWLINS, WY 82301-5108
(307) 324-9098

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MD60586432
WA
207V00000X
Obstetrics & Gynecology Physician
Primary
TL4276
WY

Other

Enumeration date
08/04/2006
Last updated
03/05/2018
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