Individual
JOHN F DICK II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
420 GROVE ST, BRANDON, VT 05733-9062
(802) 247-6305
(802) 247-6040
Mailing address
71 ALLEN ST, STE 403, RUTLAND, VT 05701-4570
(802) 772-4414
(802) 772-7973
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
420003534
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006194
—
VT
Enumeration date
07/20/2006
Last updated
07/18/2016
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