NPI 1568479251

Kristofer E Anderson, MD

Practitioner Otolaryngology Physician Middlebury, VT

Practice location

Address: 1330 Exchange St Suite 202 Porter Ent, Middlebury, VT 05753-4425
Phone: (802) 388-7037
Fax: (802) 388-5657
Mailing address: 104 Porter Dr Porter Practice Management, Middlebury, VT 05753-8527

Registered specialties

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 0420011127 (VT)

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Registry record

NPI: 1568479251
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Aug 2006
Record last updated: 13 May 2008

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.