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Organization

IRISH SPRINGS INTERNAL MEDICINE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN M DUNN MD (AUTHORIZED REP/OWNER)
(802) 644-1432
Entity
Organization

Contact information

Practice address
22 OLD MAIN STREET, JEFFERSONVILLE, VT 05464-0157
(802) 644-1432
(802) 644-1454
Mailing address
22 OLD MAIN STREET, PO BOX 157, JEFFERSONVILLE, VT 05464-0157
(802) 644-1432
(802) 644-1454

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
VT

Other

Enumeration date
07/28/2016
Last updated
10/13/2016
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