| |
20 Technology Dr, Suite 1, Brattleboro, VT 05301-9181 | |
(719) 237-6643 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | General Practice |
Location | 20 Technology Dr, Brattleboro, Vermont |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255863759 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 0060101202 (Vermont) | Secondary |
175F00000X | Naturopath | (* (Not Available)) | Secondary |
208D00000X | General Practice | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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203 Hillwinds Rd, Brattleboro, VT 05301-9072 Ph: (719) 237-6643 | 20 Technology Dr, Suite 1, Brattleboro, VT 05301-9181 Ph: (719) 237-6643 |