Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 0420013783 | VT |
NPI | 1659670883 |
---|---|
Provider Name | Bryan Monier |
First Address | Morrisville, VT 05661-8973 |
Second Address | Morrisville, VT 05661-8973 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2011 |
Last Update Date | 15/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1031477 | (05) | VT |