Individual
MARK WOODBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
279 BUSINESS ROUTE 4, SUITE 1, CENTER RUTLAND, VT 05736-9731
(802) 775-4372
(802) 775-4918
Mailing address
279 BUSINESS ROUTE 4, SUITE 1, CENTER RUTLAND, VT 05736-9731
(802) 775-4372
(802) 775-4918
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0060000962
VT
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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