Individual
NATHANIEL P. MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
111 COLCHESTER AVE., UVM MEDICAL CENTER - SURGERY/EMERGENCY DEPT., BURLINGTON, VT 05401-1473
(802) 847-2434
(802) 847-4802
Mailing address
111 COLCHESTER AVE., UVM MEDICAL CENTER - SURGERY/EMERGENCY DEPT., BURLINGTON, VT 05401-1473
(802) 847-2434
(802) 847-4802
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
055.0031256
VT
Other
Enumeration date
05/11/2015
Last updated
06/08/2015
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