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Individual

DAVID W HOBBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
564 US RT #2, SOUTH HERO, VT 05486
(802) 372-4687
Mailing address
564 US RT #2, SOUTH HERO, VT 05486
(802) 372-4687

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
170291-1
NY
207Q00000X
Family Medicine Physician
Primary
0420006849
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000490094001
BSNENY
NY
05
01192281
NY
01
114406
VALUE OPTIONS
NY
01
141338471
FIDELIS
NY
01
141338471
UNITED HEALTHCARE
01
61Q881
EMPIRE BC
01
90031
MVP
NY
Enumeration date
11/29/2006
Last updated
08/15/2012
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