Individual
JAMES MCGONIGAL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BC-HIS
Contact information
Practice address
162 PARK ST, SPRINGFIELD, VT 05156-3036
(802) 885-3399
Mailing address
168 CROWN POINT RD, SPRINGFIELD, VT 05156-8878
(802) 885-3399
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
063-0000040
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1006764
—
VT
Enumeration date
05/16/2007
Last updated
07/09/2007
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