Individual
DR. JOHN G KOUTRAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 S PROSPECT ST, BURLINGTON, VT 05401-3456
(802) 847-4560
(802) 847-8747
Mailing address
71 ELK LN, WILLISTON, VT 05495-4412
(802) 878-2383
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
042.0010844
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02657289
—
VT
05
—
1010931
—
VT
Enumeration date
10/05/2006
Last updated
06/20/2025
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