Individual
MS. DEBORAH ANN BRISTOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
215 N MAIN ST, WHITE RIVER JUNCTION, VT 05009-0001
(802) 296-6343
Mailing address
215 N MAIN ST, WHITE RIVER JUNCTION, VT 05009-0001
(802) 296-6343
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
055-0030862
VT
Other
Enumeration date
10/04/2007
Last updated
10/04/2007
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