Organization
CHAMPLAIN VALLEY ANESTHESIA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN L CALHOUN MD (AUTHORIZED REPRESENTATIVE)
(802) 363-3602
Entity
Organization
Contact information
Practice address
115 PORTER DR, MIDDLEBURY, VT 05753-8423
(802) 388-4724
Mailing address
129 BROWNS TRACE RD, JERICHO, VT 05465-2034
(800) 242-1131
(517) 787-7094
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
05/24/2011
Last updated
05/24/2011
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