Individual
ROGER H KNOWLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
130 FISHER RD, MOB-A SUITE 1-4, BERLIN, VT 05602-9516
(802) 371-5961
(802) 371-5960
Mailing address
PO BOX 547, CENTRAL VERMONT MEDICAL CENTER - FINANCE DEPT, BARRE, VT 05641-0547
(802) 371-5961
(802) 371-5960
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
032-0000288
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005632
—
VT
Enumeration date
07/21/2006
Last updated
12/04/2014
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