Organization
SHAFTSBURY MEDICAL ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID E KING M.D. (PRESIDENT)
(802) 442-8531
Entity
Organization
Contact information
Practice address
677 VT. RTE. 7A, SHAFTSBURY, VT 05262-0379
(802) 442-8531
(802) 442-1503
Mailing address
PO BOX 379, SHAFTSBURY, VT 05262-0379
(802) 442-8531
(802) 442-1503
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5141
MVP
VT
01
—
SHAF00018096
VT BC-BS
VT
05
—
VT4495
—
VT
Enumeration date
10/19/2006
Last updated
11/20/2015
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