NPI 1205941879

Twin River Urology

Organisation Urology Physician White River Jct, VT

Practice location

Address: 108 No Main St Twin River Urology, White River Jct, VT 05001
Phone: (802) 296-7370
Fax: (802) 296-7174

Authorised official

Name: Kathy L Detzer
Title: Bus Manager
Phone: (802) 296-7370

Registered specialties (2)

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 0420008456 (VT)

Other Urology providers in Vermont →

Urology Physician

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 8746 (NH)

Registry record

NPI: 1205941879
Entity type: Organization
NPI issued: 21 Aug 2006
Record last updated: 17 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.