Individual
DR. AMELIA BLAINE SYBENGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-0000
Mailing address
2401 S 31ST ST, DEPARTMENT OF PATHOLOGY, RM 261B, TEMPLE, TX 76508-0001
(254) 724-2435
(254) 724-4391
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
032-0133860
VT
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
BP10047230
TX
Other
Enumeration date
07/10/2014
Last updated
01/05/2024
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