Individual
SUSAN JILL VICKERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
744 W 9TH ST, TULSA, OK 74127-9907
(918) 584-5337
Mailing address
4600 INVERNESS RUN DR, JONESBORO, AR 72405-8056
(870) 476-9905
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/22/2023
Last updated
06/13/2024
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