| NPI | 1548045735 |
|---|---|
| Doing Business As | VICK SURGICAL |
| Entity Type | Organization |
| Authorized Contact | ALICIA VICK Owner 225-413-5637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2023-08-28 |
| Last Update Date | 2023-08-28 |