Organization
ORLEANS MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BOURGEOIS M.D. (OWNER)
(802) 754-2220
Entity
Organization
Contact information
Practice address
30 EAST ST, ORLEANS, VT 05860-1230
(802) 754-2220
(802) 754-2195
Mailing address
30 EAST ST, ORLEANS, VT 05860-1230
(802) 754-2220
(802) 754-2195
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00019768
VT BCBS
VT
05
—
OVN2319
—
VT
Enumeration date
03/26/2007
Last updated
08/22/2020
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