NPI 1235158569

William Bond Burton, PA

Practitioner Medical Physician Assistant Berlin, VT

Practice location

Address: 130 Fisher Rd, Berlin, VT 05602-9516
Phone: (802) 371-4100
Mailing address: 130 Fisher Rd PO Box 547, Berlin, VT 05602-9516

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 055-0030438 (VT)

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Registry record

NPI: 1235158569
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Jul 2006
Record last updated: 8 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.