Individual
PATRICK HERVEY STINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2195 S BINGHAM ST, WHITING, VT 05778-9508
(802) 462-2012
Mailing address
2195 S BINGHAM ST, WHITING, VT 05778-9508
(802) 462-2012
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
042-0006468
VT
207Y00000X
Otolaryngology Physician
Primary
MD2006-0162
NM
Other
Enumeration date
07/31/2009
Last updated
07/31/2009
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