NATHAN VICKNAIR

PUEBLO, CO
NPI1376171298
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RG0100X Internal Medicine, Gastroenterology
(Licence: LA  352219)
Enumeration Date2020-03-27
Last Update Date2026-08-06
Business Address
Dr. NATHAN VICKNAIR Student
400 W 16TH ST
PUEBLO, CO 81003-2745
Phone number: 719-584-4000
Mailing Address
Dr. NATHAN VICKNAIR Student
216 W 10TH AVE STE 202
KENNEWICK, WA 99336-6304
Phone number: 509-221-5510
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