Individual
MARK CHIPMAN DOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DTR
Contact information
Practice address
210 SUGAR TREE LN, SOUTH BURLINGTON, VT 05403-6733
(802) 863-2446
Mailing address
210 SUGAR TREE LN, SOUTH BURLINGTON, VT 05403-6733
(802) 863-2436
Taxonomy
Speciality
Code
Description
License number
State
136A00000X
Registered Dietetic Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NONE
—
Enumeration date
12/30/2018
Last updated
12/30/2018
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