Individual
BREENA W HOLMES
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
110 PORTER DR, MIDDLEBURY, VT 05753-8527
(802) 388-7959
Mailing address
104 PORTER DR, MIDDLEBURY, VT 05753-8527
(802) 388-8808
(802) 388-8322
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0420009478
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1006033
—
VT
Enumeration date
10/18/2005
Last updated
07/08/2007
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