Individual
DR. SUZANNE REVOIR PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
118 PINE ST, BURLINGTON, VT 05401-8421
(802) 864-6595
(802) 862-4062
Mailing address
311 WHALLEY RD, CHARLOTTE, VT 05445-9532
(802) 425-3339
(802) 425-3412
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
0420005358
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002805
—
VT
Enumeration date
01/02/2007
Last updated
07/08/2007
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