Individual
MICHELLE R VICKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RRT
Contact information
Practice address
167 MAIN ST, TUBA CITY, AZ 86045
(866) 976-5941
Mailing address
167 MAIN ST, TUBA CITY, AZ 86045
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
426575
IL
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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