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Individual

G. BRENT BURGEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
44 S MAIN ST, RANDOLPH, VT 05060-1381
(802) 728-2430
(802) 728-2394
Mailing address
PO BOX 2000, 44 SOUTH MAIN STREET, RANDOLPH, VT 05060-2000
(802) 728-2430
(802) 728-2394

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0420006477
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0006173
VT
Enumeration date
08/14/2006
Last updated
07/09/2007
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