# IRISH SPRINGS INTERNAL MEDICINE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366995193
- **Authorized official:** JOHN M DUNN MD (AUTHORIZED REP/OWNER)
- **Authorized official phone:** (802) 644-1432

## Contact information

- **Practice address:** 22 OLD MAIN STREET, JEFFERSONVILLE, VT 05464-0157
- **Practice address phone:** (802) 644-1432
- **Practice address fax:** (802) 644-1454
- **Mailing address:** 22 OLD MAIN STREET, PO BOX 157, JEFFERSONVILLE, VT 05464-0157
- **Mailing address phone:** (802) 644-1432
- **Mailing address fax:** (802) 644-1454

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | VT | Yes |

## Other

- **Enumeration date:** 07/28/2016
- **Last updated:** 10/13/2016