| NPI | 1003923921 |
|---|---|
| Professional Name | ROGER A VICKERY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 1331813041) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2014-01-06 |