Individual
JON SLEEPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-0000
Mailing address
12920 WARNER HILL RD, SOUTH WALES, NY 14139-9744
(630) 800-9422
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
025872-01
NY
Other
Enumeration date
03/30/2020
Last updated
02/04/2022
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