Individual
TODD MORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1311 BARRE- MONTPELIER RD, CVMC EXPRESSCARE, BERLIN, VT 05602-0000
(802) 371-4239
(802) 371-4237
Mailing address
PO BOX 547, ATT: CVMC FINANCE DEPT, BARRE, VT 05641-0547
(802) 371-4239
(802) 371-4237
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
055.0031257
VT
363A00000X
Physician Assistant
PA3883
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000782
—
VT
Enumeration date
10/14/2009
Last updated
10/01/2015
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