Individual
JODY P HOUGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
1 HOSPITAL CT, BELLOWS FALLS, VT 05101-1489
(802) 463-3903
(802) 463-1287
Mailing address
PO BOX 710, SPRINGFIELD MEDICAL CARE SYSTEMS INC, SPRINGFIELD, VT 05156-0710
(802) 463-3903
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0550030129
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000099
—
VT
Enumeration date
02/06/2006
Last updated
09/27/2011
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