Organization
GREEN MOUNTAIN GENERAL SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN F SMALE MD (PRESIDENT)
(802) 888-2311
Entity
Organization
Contact information
Practice address
530 WASHINGTON HIGHWAY, HEALTH CENTER BUILDING SUITE 3, MORRISVILLE, VT 05661
(802) 888-2311
(802) 888-0031
Mailing address
530 WASHINGTON HIGHWAY, SUITE 3, MORRISVILLE, VT 05661
(802) 888-2311
(802) 888-0031
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009478
—
VT
01
—
DA5793
RAILROAD MEDICARE
—
01
—
GREE00059225
BLUE CROSS BLUE SHIELD
VT
Enumeration date
06/06/2006
Last updated
08/22/2020
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