Individual
DR. DAVID M CODDAIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
609 WASHINGTON HWY, MORRISVILLE, VT 05661-8652
(802) 888-5639
(802) 888-6040
Mailing address
607 WASHINGTON HWY, MORRISVILLE, VT 05661-8652
(802) 888-5639
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
042-0005100
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00004692
BLUE CROSS BLUE SHIELD
VT
05
—
0004692
—
VT
01
—
080103401
RR MEDICARE
VT
01
—
8000718
LADIES FIRST
VT
Enumeration date
04/27/2006
Last updated
08/03/2023
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