Individual
DR. STEPHEN PATRICK BENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-2415
(802) 847-5324
Mailing address
PO BOX 1063, BURLINGTON, VT 05402-1063
(802) 847-2415
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
042-0011769
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042-0011769
STATE LICENSE
VT
Enumeration date
04/13/2007
Last updated
01/07/2015
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