Organization
CHAMPLAIN ANESTHESIA, PLC
Active
Other names
Chittenden
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN BRADLEY MASON MD (PRESIDENT)
(802) 318-5396
Entity
Organization
Contact information
Practice address
593 HERCULES DRIVE, COLCHESTER, VT 05446-5993
(802) 488-5350
Mailing address
PO BOX 4617, BURLINGTON, VT 05406-4617
(802) 318-5396
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OVN1301
—
VT
Enumeration date
10/23/2018
Last updated
10/23/2018
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