Garry Martin Vickar in St Louis - Psychiatry

Garry Martin Vickar - NPI 1366402612

Garry Martin Vickar is a Psychiatry in St Louis, Missouri. Garry Martin Vickar practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Garry Martin Vickar is 1366402612. The last update date is 2014-03-12.

Garry Martin Vickar's current location address is 11125 Dunn Road, St Louis, Missouri. You can contact this provider via phone number 3148374900 and fax number 3148375646. The mailing address for Garry Martin Vickar is 11125 Dunn Road, St Louis, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Garry Martin Vickar
Address 11125 Dunn Road, St Louis, Missouri
Phone Number 3148374900
Fax Number 3148375646
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1366402612
Provider Enumeration Date 2006-03-23
Last Updated Date 2014-03-12

Provider Mailing Address Detail

Address 11125 Dunn Road
City St Louis
State Missouri (MO)
Post Code 631366132
Phone Number 3148374900
Fax Number 3148375646

Provider's Primary Taxonomy Detail

Speciality Psychiatry
Taxonomy 2084P0800X
Licence No R5051
Definition:
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200794402 MO --

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FAQs about Garry Martin Vickar

What is the Garry Martin Vickar's unique identification number?

The Garry Martin Vickar has been assigned the NPI (National Provider Identifier) Number 1366402612 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Garry Martin Vickar's facilities are geographically located?

The facilities of Garry Martin Vickar are physically situated at the following location: 11125 Dunn Road, St Louis, MO, 631366132.

What is Garry Martin Vickar's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Garry Martin Vickar's specialized field of practice is Psychiatry, and the corresponding taxonomy code that categorizes this area of specialization is 2084P0800X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1366402612 to Garry Martin Vickar?

The Centers for Medicare & Medicaid Services originally issued the 1366402612 to Garry Martin Vickar on 2006-03-23.

When was the information pertaining to Garry Martin Vickar most recently updated or revised?

The details related to Garry Martin Vickar, including its address, specialty, and other relevant information, were last updated or revised on 2014-03-12.

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