Individual
DR. JARED EGERTON FLORANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.S., FACPM
Contact information
Practice address
789 VERMONT NATIONAL GUARD RD, VTARNG STATE MEDICAL DETACHMENT, COLCHESTER, VT 05446-6358
(802) 338-3456
Mailing address
1002 HOWARD HILL RD, RANDOLPH, VT 05060-9177
(802) 372-8718
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
0101035657
VA
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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