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279 Business Route 4, Suite 1, Center Rutland, VT 05736-9731 | |
(802) 775-4372 | |
(802) 775-4918 |
Full Name | |
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Type | Facility |
Speciality | Chiropractor |
Location | 279 Business Route 4, Center Rutland, 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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1932294964 | NPI | - | NPPES |
INTE00059811 | Other | VT | BCBS |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Mark R Woodbury |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1366561979 PECOS PAC ID: 1557342409 Enrollment ID: I20040526001046 |
Mailing Address | Practice Location Address |
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279 Business Route 4, Suite 1, Center Rutland, VT 05736-9731 Ph: (802) 775-4372 | 279 Business Route 4, Suite 1, Center Rutland, VT 05736-9731 Ph: (802) 775-4372 |
Mark Woodbury, Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 279 Business Route 4, Suite 1, Center Rutland, VT 05736 Phone: 802-775-4372 Fax: 802-775-4918 |