Individual
DR. RYAN J SEXTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1315 HOSPITAL DR, NORTHEASTERN VT REGIONAL HOSPITAL, ST JOHNSBURY, VT 05819-9210
(802) 748-8141
(802) 748-7541
Mailing address
PO BOX 905, 1315 HOSPITAL DRIVE, ST JOHNSBURY, VT 05819-0905
(802) 748-8141
(802) 748-7541
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
042-0013239
VT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025571
—
VT
05
—
3101749
—
NH
Enumeration date
05/04/2010
Last updated
11/23/2015
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