Individual
BRANDON KEITH VICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
612 SOUTH 12TH ST., FAMILY MEDICINE UAMS-WEST, FORT SMITH, AR 72901
(479) 785-2431
(479) 785-0732
Mailing address
612 SOUTH 12TH ST., FAMILY MEDICINE UAMS-WEST, FORT SMITH, AR 72901
(479) 785-2431
(479) 785-0732
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
E12128
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2017
Last updated
07/18/2019
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