Individual
DAVID A POLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
21A ESSEX WAY, ESSEX, VT 05452-3385
(802) 878-0119
Mailing address
21A ESSEX WAY, ESSEX JUNCTION, VT 05452-3384
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
033.0124926-INTN
VT
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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