Organization
CHAMPLAIN OBSTETRICS AND GYNECOLOGY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY SARGENT (PATIENT ACCOUNTS MANAGER)
(802) 879-1802
Entity
Organization
Contact information
Practice address
55 MAIN ST, SUITE 3, ESSEX JUNCTION, VT 05452-3191
(802) 879-1802
(802) 878-6131
Mailing address
55 MAIN ST, SUITE 3, ESSEX JUNCTION, VT 05452-3191
(802) 879-1802
(802) 878-6131
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005293
BCBS
VT
05
—
0005293
—
VT
Enumeration date
12/29/2005
Last updated
04/20/2008
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