Eric Stephen Vickrey MHPP

NPI 1215221668 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1215221668
Gender Male
Enumeration Date 06/02/2011
Last Updated 06/02/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
1600 ALDERSGATE RD
LITTLE ROCK AR, 72205-6614, US
Phone (501) 661-0720
Fax
Business Location
613 N FISHER ST
JONESBORO AR, 72401-2152, US
Phone (501) 661-0720
Fax
Toxanomy
Taxonomy Code 171M00000X
License State
License Number
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According to our database, Eric Stephen Vickrey MHPP NPI is 1215221668, taxonomy code is 171M00000X Eric Stephen Vickrey MHPP physically located at 1600 Aldersgate Rd, Little Rock AR, 72205-6614. NPI Number Eric Stephen Vickrey MHPP has the Individual type.

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1215221668 NPI number is provided on an as is basis without warranty of any kind. 1215221668 is maintained by the National Plan & Provider Enumeration System. The contents of Eric Stephen Vickrey MHPP are for informational purposes only.