Individual
DR. JENNIE STOVER CHAMPION
Active
Individual
DR. JENNIE STOVER CHAMPION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
042.0012363
VT
2080P0203X
Pediatric Critical Care Medicine Physician
224172
MA
2080P0203X
Pediatric Critical Care Medicine Physician
MD2011-0496
NM
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
MD28609
OR
Other
Enumeration date
06/02/2006
Last updated
05/18/2016
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