Individual
PHILIP J DAVIGNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
145 PINE HAVEN SHORES RD, SHELBURNE, VT 05482-7703
(802) 985-9905
Mailing address
572 SOUTHRIDGE RD, WILLISTON, VT 05495-5240
(802) 985-9905
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
55420
MA
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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