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2577 Hartford Ave, Wilder, VT 05088 | |
(802) 295-9360 | |
(802) 295-9360 |
Full Name | |
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Type | Facility |
Speciality | Chiropractor |
Location | 2577 Hartford Ave, Wilder, Vermont |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1699070755 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 889 (Vermont) | Primary |
Provider Name | Donald J Anderson |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1972694313 PECOS PAC ID: 2062514631 Enrollment ID: I20070228000393 |
Provider Name | David Charles Parella |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1275955114 PECOS PAC ID: 8820214299 Enrollment ID: I20140721000455 |
Mailing Address | Practice Location Address |
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Po Box 181, Wilder, VT 05088-0181 Ph: (802) 295-9360 | 2577 Hartford Ave, Wilder, VT 05088 Ph: (802) 295-9360 |