Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 0420011366 | VT |
N | 207XS0106X | Orthopaedic Hand Surgeon | 042-0011366 | VT |
NPI | 1184655805 |
---|---|
Provider Name | Denise M Durant |
First Address | Saint Albans, VT 05478-9753 |
Second Address | Williston, VT 05495-7558 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2006 |
Last Update Date | 24/07/2019 |