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Individual

DR. WILLIAM WARD PENDLEBURY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207ZN0500X
Neuropathology Physician
042-0006423
VT
2084N0400X
Neurology Physician
Primary
042-0006423
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0005074
VT
05
01174221
NY
Enumeration date
07/12/2006
Last updated
10/04/2013
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