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Individual

BRIAN LEWIS CALHOUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
115 PORTER DR, MIDDLEBURY, VT 05753-8423
(802) 388-4701
Mailing address
129 BROWNS TRACE RD, JERICHO, VT 05465-2034
(802) 363-3602

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
042-0007957
VT
207L00000X
Anesthesiology Physician
042-007957
VT
207L00000X
Anesthesiology Physician
34111
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00008400
BLUE CROSS
VT
05
0009425
VT
Enumeration date
07/24/2006
Last updated
01/17/2025
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