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Individual

LARRY A. ERMOLD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
44 S MAIN ST, RANDOLPH, VT 05060-1381
(802) 728-2345
(802) 728-2613
Mailing address
PO BOX 2000, RANDOLPH, VT 05060-2000
(802) 728-2345
(802) 728-2613

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0420010980
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1011674
VT
Enumeration date
08/23/2006
Last updated
06/05/2008
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