Individual
JONATHAN DUPUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-8572
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-8572
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1111
NH
Other
Enumeration date
09/03/2015
Last updated
09/08/2015
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