Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 099.0133057 | VT |
NPI | 1053820811 |
---|---|
Provider Name | Dr. Brenton Murphy |
First Address | Brattleboro, VT 05301-2867 |
Second Address | Brattleboro, VT 05301-2867 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2017 |
Last Update Date | 25/09/2017 |