# DR. NATHANIEL DAVID KOFFORD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1407021702
- **Gender:** Man
- **Credential:** M.D., MSPH

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 042-0011896 | VT | Yes |

## Other

- **Enumeration date:** 04/28/2008
- **Last updated:** 12/05/2012