Individual
DR. EDWIN G BOVILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 COLCHESTER AVE, FLETCHER ALLEN HEALTH CARE, PATHOLOGY, BURLINGTON, VT 05401-1473
(802) 656-0359
(802) 656-8892
Mailing address
414 CLEARWATER RD, SHELBURNE, VT 05482-7725
(802) 985-8257
(802) 656-8892
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
042-0006429
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00789859
—
NY
05
—
00789859
—
VT
Enumeration date
07/14/2006
Last updated
07/08/2007
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