Individual
DR. TODD R. PEEBLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 COLCHESTER AVE, DEPARTMENT OF RADIOLOGY, BURLINGTON, VT 05401-1473
(802) 847-3592
(802) 847-4822
Mailing address
115 FOUR SISTERS RD, SOUTH BURLINGTON, VT 05403-8105
(802) 658-6691
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
042-0009790
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OVN2624
—
VT
Enumeration date
07/21/2006
Last updated
08/09/2023
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