NPI 1437184637

Brad Lee Jimmo, MD

Practitioner Surgery Physician Rutland, VT

Practice location

Address: 215 Stratton Rd, Rutland, VT 05701-4621
Phone: (802) 775-7745
Fax: (802) 775-5155

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 042-0010388 (VT)

Other Surgery providers in Vermont →

Registry record

NPI: 1437184637
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Jul 2006
Record last updated: 15 Mar 2012

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.