Individual
STAFFORD ELI BRANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
215 STRATTON RD, RUTLAND, VT 05701-4621
(802) 773-3386
Mailing address
215 STRATTON RD, RUTLAND, VT 05701-4621
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
101.0135630
VT
Other
Enumeration date
09/06/2022
Last updated
09/06/2022
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