NPI 1538197421

Stephen M Koller, MD

Practitioner Diagnostic Radiology Physician Middlebury, VT

Practice location

Address: 115 Porter Dr Radiology Department, Middlebury, VT 05753-8423
Phone: (802) 388-8851
Mailing address: 1119 Basin Harbor Rd, Bridport, VT 05734-9570

Registered specialties

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 042-0009220 (VT)

Other Radiology providers in Vermont →

Registry record

NPI: 1538197421
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Jun 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.