Individual
JEAN M PRUNTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
609 WASHINGTON HWY, MORRISVILLE, VT 05661-8652
(802) 888-5688
(802) 888-6818
Mailing address
607 WASHINTON HIGHWAY, MORRISVILLE, VT 05661-8715
(802) 888-5688
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
042-0008373
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00018146
BCBS
VT
05
—
0VN0112
—
VT
Enumeration date
05/13/2006
Last updated
03/22/2018
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