Organization
STEPHANIE LANDVATER, MD PLC
Active
Other names
Stephanie Landvater, MD PLC
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE J LANDVATER MD (OWNER)
(802) 881-5137
Entity
Organization
Contact information
Practice address
2418 AIRPORT RD STE C, BARRE, VT 05641
(802) 881-5137
(802) 433-5070
Mailing address
507 CHAPMAN LN, WILLISTON, VT 05495-7770
(802) 881-5137
(802) 433-5070
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0VN0439
—
VT
Enumeration date
03/20/2018
Last updated
06/19/2018
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