Individual
DR. WILLIAM WARD PENDLEBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 656-0383
(802) 656-8892
Mailing address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 656-0383
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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