Individual
NICHOLAS VESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
28260 US HIGHWAY 98 STE C, DAPHNE, AL 36526-7076
(251) 375-1326
Mailing address
28260 US HIGHWAY 98 STE C, DAPHNE, AL 36526-7076
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1078
AL
Other
Enumeration date
10/27/2015
Last updated
10/27/2015
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