Individual
RUSSELL DAVIGNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
225 WESTWOOD DR, MONTPELIER, VT 05602-8453
(802) 229-6698
Mailing address
PO BOX 159, MONTPELIER, VT 05601-0159
(802) 229-6698
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
042.0006123
VT
Other
Enumeration date
04/10/2014
Last updated
04/10/2014
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