Martyn A Vickers Jr., M.D.
Urology in Rockport, ME. Individual provider (NPI-1).
NPI number1831297803
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1831297803
- Entity type
- Individual (NPI-1)
- Name
- Martyn A Vickers Jr.
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 21, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208800000X | Urology | 006250 | ME | Yes |
Practice location
3 Glen Cove DrRockport, ME 04856-4232
Phone 207-593-5400 · Fax 207-593-5301
Mailing address
3 Glen Cove DrRockport, ME 04856-4232
Phone 207-593-5400 · Fax 207-593-5301
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