Wallace Hanna Good JR. M.D.

NPI 1568496008 - Anesthesiology - 207L00000X

NPI Details
NPI 1568496008
Gender Male
Enumeration Date 07/10/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
12 LAKEMOUNT DR
SAINT ALBANS VT, 05478-0386, US
Phone (802) 524-5867
Fax
Business Location
PO BOX 386
SAINT ALBANS VT, 05478-0386, US
Phone (802) 452-5817
Fax
Toxanomy
Taxonomy Code 207L00000X
License State New York
License Number 144954
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According to our database, Dr. Wallace Hanna Good JR. M.D. NPI is 1568496008, taxonomy code is 207L00000X and license number is 144954, license state is located at New York. Wallace Hanna Good JR. M.D. physically located at 12 Lakemount Dr, Saint Albans VT, 05478-0386. NPI Number Wallace Hanna Good JR. M.D. has the Individual type.

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1568496008 NPI number is provided on an as is basis without warranty of any kind. 1568496008 is maintained by the National Plan & Provider Enumeration System. The contents of Wallace Hanna Good JR. M.D. are for informational purposes only.