NPI 1902100928

Champlain Valley Anesthesia, PLLC

Organisation Anesthesiology Physician Middlebury, VT

Practice location

Address: 115 Porter Dr, Middlebury, VT 05753-8423
Phone: (802) 388-4724
Mailing address: 255 W Michigan Ave P.O. Box 1123, Jackson, MI 49201-2218

Authorised official

Name: Kevin L. Ianni
Title: Authorized Representative
Phone: (802) 462-3225

Registered specialties

Anesthesiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207L00000X

Other Anesthesiology providers in Vermont →

Registry record

NPI: 1902100928
Entity type: Organization
NPI issued: 5 Jan 2011
Record last updated: 5 Jan 2011

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.