Individual
MR. JONATHAN DUVALL SPEER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
185 SHERMAN DR, ST JOHNSBURY, VT 05819-9811
(802) 748-5041
Mailing address
165 SHERMAN DR, ST JOHNSBURY, VT 05819-9811
(802) 748-9405
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
055-0031000
VT
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
01/10/2021
Last updated
01/03/2024
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