Individual
DR. JASON DOUGLAS BRAZELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401
(802) 847-5121
Mailing address
1348 NE CUSHING DR, SUITE 200, BEND, OR 97701-3876
(541) 382-7696
(541) 389-5723
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
042.0014078
VT
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
175972
OR
Other
Enumeration date
03/30/2009
Last updated
08/03/2018
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