Organization
JOHN R. BOOKWALTER, M.D. FACS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN R. BOOKWALTER M.D. (OWNER)
(802) 257-7106
Entity
Organization
Contact information
Practice address
15 BELMONT AVE, BRATTLEBORO, VT 05301-6613
(802) 257-7106
(802) 257-2270
Mailing address
15 BELMONT AVE, BRATTLEBORO, VT 05301-6613
(802) 257-7106
(802) 257-2270
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
042-0004468
VT
Other
Enumeration date
06/16/2008
Last updated
06/16/2008
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