Champlain Valley Anesthesia, Pllc

NPI 1164715223 - Anesthesiology - 207L00000X

NPI Details
NPI 1164715223
Enumeration Date 05/24/2011
Last Updated 05/24/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name BRIAN L BRIAN
Position AUTHORIZED REPRESENTATIVE
Phone (802) 388-4724
Fax
Practice Location
115 PORTER DR
MIDDLEBURY VT, 05753-8423, US
Phone (802) 388-4724
Fax
Business Location
129 BROWNS TRACE RD
JERICHO VT, 05465-2034, US
Phone (800) 242-1131
Fax (517) 787-7094
Toxanomy
Taxonomy Code 207L00000X
License State
License Number
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According to our database, Champlain Valley Anesthesia, Pllc NPI is 1164715223, taxonomy code is 207L00000X Champlain Valley Anesthesia, Pllc physically located at 115 Porter Dr, Middlebury VT, 05753-8423. NPI Number 1033115704 has the healthcare provider type.

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1164715223 NPI number is provided on an as is basis without warranty of any kind. 1164715223 is maintained by the National Plan & Provider Enumeration System. The contents of Champlain Valley Anesthesia, Pllc are for informational purposes only.