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Individual

MR. JOHN WILLIAM TODD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ARNP

Contact information

Practice address
79 MAIN ST.,, PUTNEY, VT 05346
(802) 387-5581
(802) 387-6694
Mailing address
PO BOX 247, 79 MAIN ST., PUTNEY FAMILY HEALTHCARE, PUTNEY, VT 05346-8943
(802) 387-5581

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
101-0023475
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30343945
NH
Enumeration date
07/10/2006
Last updated
04/23/2015
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