Organization
FOUR SEASONS DERMATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN ROBERT PARTILO MD (MEMBER)
(802) 864-0192
Entity
Organization
Contact information
Practice address
354 MOUNTAIN VIEW DRIVE, SUITE 300, COLCHESTER, VT 05446-5988
(802) 864-0192
(802) 860-4919
Mailing address
354 MOUNTAIN VIEW DRIVE, SUITE 300, COLCHESTER, VT 05446-5988
(802) 864-0192
(802) 860-4919
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207N00000X
Dermatology Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
208200000X
Plastic Surgery Physician
—
—
Other
Enumeration date
05/16/2006
Last updated
04/28/2022
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