Individual
JON PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19 BELMONT AVE, SUITE 201, BRATTLEBORO, VT 05301-7109
(802) 257-7106
(802) 257-2270
Mailing address
19 BELMONT AVE, SUITE 201, BRATTLEBORO, VT 05301-7109
(802) 257-7106
(802) 257-2270
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
4468
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9897
—
VT
Enumeration date
08/30/2006
Last updated
07/09/2007
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