Healthcare Provider Details

I. General information

NPI: 1225446818
Provider Name (Legal Business Name): VERMONT VETERINARY CARDIOLOGY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2014
Last Update Date: 07/27/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

158 HURRICANE LN
WILLISTON VT
05495-2072
US

IV. Provider business mailing address

158 HURRICANE LN
WILLISTON VT
05495-2072
US

V. Phone/Fax

Practice location:
  • Phone: 802-878-2022
  • Fax: 866-627-0388
Mailing address:
  • Phone: 802-878-2022
  • Fax: 866-627-0388

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174M00000X
TaxonomyVeterinarian
License Number052.0001729
License Number StateVT

VIII. Authorized Official

Name: DR. DONALD J BROWN
Title or Position: VETERINARIAN
Credential: D.V.M.
Phone: 802-477-2877