Individual
JEFFREY ERIK HADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D,
Contact information
Practice address
586 OAK HILL RD, WILLISTON, VT 05495-7103
(802) 878-8131
(802) 879-6853
Mailing address
69 SAWMILL RD, JERICHO, VT 05465-3143
(802) 899-2384
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0420011189
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A88830
MEDICAL LICENSE
CA
Enumeration date
07/14/2006
Last updated
03/07/2023
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