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Individual

DR. MELBOURNE DUNCAN BOYNTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
160 ALLEN ST, RUTLAND, VT 05701-4560
(802) 775-2937
(802) 773-0934
Mailing address
160 ALLEN ST, RUTLAND, VT 05701-4560
(802) 775-2937
(802) 773-0934

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
0420009554
VT
207X00000X
Orthopaedic Surgery Physician
Primary
042.0009554
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00029837
BCBS
VT
05
0VN1776
VT
01
4971
CAPITAL DISTRICT PHY HEAL
VT
01
959159
MOHAWK VALLEY PHYSICIAN
VT
Enumeration date
09/19/2005
Last updated
09/15/2020
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