Individual
NELSON ERIK VICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9040A JACKSON AVENUE, JOINT BASE LEWIS MCCHORD, WA 98431-0004
(253) 968-3496
Mailing address
5406 BALUSTRADE BLVD SE, LACEY, WA 98513-5032
(651) 271-6519
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD61351689
WA
Other
Enumeration date
04/30/2019
Last updated
06/16/2023
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