Individual
MR. DAVID MATHIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
44 S MAIN ST, RANDOLPH, VT 05060-1381
(802) 728-7000
Mailing address
2248 COUNTY RD, MONTPELIER, VT 05602-8657
(802) 223-7789
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
101.0124227
VT
Other
Enumeration date
10/09/2016
Last updated
10/09/2016
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