Individual
BRIAN F SMALE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
530 WASHINGTON HIGHWAY, HEALTH CENTER BUILDING SUITE 3, MORRISVILLE, VT 05661
(802) 888-2311
(802) 888-0031
Mailing address
530 WASHINGTON HIGHWAY, SUITE 3, MORRISVILLE, VT 05661
(802) 888-2311
(802) 888-0031
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0420010536
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00059227
BLUE CROSS BLUE SHIELD
VT
05
—
1009479
—
VT
01
—
P00086431
RAILROAD MEDICARE
—
Enumeration date
05/03/2006
Last updated
07/08/2007
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