Dr VICKIE P CLENNON is a female medical professional, specializing in Obstetrics/gynecology. She graduated in 2003 from University Of South Florida College Of Medicine.
DHEW IND HLTH SV HLTH SVS AND MNTL HLTH ADM
4212 N 16TH ST
PHOENIX
AZ
850165319
Tel: 6022631200
Npi | 1578771952 |
Pac Id | 6103908470 |
Professional Enrollment Id | I20140304001764 |
Last Name | CLENNON |
First Name | VICKIE |
Middle Name | P |
Suffix | |
Gender | F |
Credential | |
Medical School Name | UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE |
Graduation Year | 2003 |
Primary Specialty | OBSTETRICS/GYNECOLOGY |
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Organization Legal Name | DHEW IND HLTH SV HLTH SVS AND MNTL HLTH ADM |
Group Practice Pac Id | 1759290901 |
Number Of Group Practice Members | 221 |
Line 1 Street Address | 4212 N 16TH ST |
Line 2 Street Address | |
Marker Of Address Line 2 Suppression | |
City | PHOENIX |
State | AZ |
Zip Code | 850165319 |
Phone Number | 6022631200 |
Hospital Affiliation Ccn 1 | 030078 |
Hospital Affiliation Lbn 1 | PHOENIX INDIAN MEDICAL CENTER |
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Professional Accepts Medicare Assignment | Y |
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