Organization
LONG TRAIL PODIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY R KING DPM (CO-OWNER)
(802) 359-4335
Entity
Organization
Contact information
Practice address
2456 CHRISTIAN ST, SUITE L2, WHITE RIVER JUNCTION, VT 05001-9856
(802) 359-4335
(802) 359-4336
Mailing address
2456 CHRISTIAN ST, SUITE L2, WHITE RIVER JUNCTION, VT 05001-9856
(802) 359-4335
(802) 359-4336
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
L0018421
VT
Other
Enumeration date
04/24/2007
Last updated
06/10/2010
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