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Vickie Park, MD

NPI 1851484349 · on the registry since 2006 · sole proprietor

Practice

Address
100 St. Mary'S Medical Plaza
Jefferson City, MO 65101
Phone
(573) 761-7011
Organisation at this address
Cole Physician Services Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
207P00000X
207P00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri