NPI 1053421628

Jon Peters

Practitioner Other Technician Brattleboro, VT

Practice location

Address: 19 Belmont Ave Suite 201, Brattleboro, VT 05301-7109
Phone: (802) 257-7106
Fax: (802) 257-2270

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X Licence 4468 (VT)

Other Technician, Other providers in Vermont →

Registry record

NPI: 1053421628
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Aug 2006
Record last updated: 9 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.