Dr. David William Mcgovern
Primary Podiatric Medicine
150 Kennedy Dr
South Burlington
, Vermont 05403-6749
Dr. David William Mcgovern
Primary Podiatric Medicine
150 Kennedy Dr
South Burlington
, Vermont 05403-6749
(802) 859-3669
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About
Features
Specialties
- Primary Podiatric Medicine
Languages spoken
- English
Location
First Address
- Dr. David William Mcgovern
- 150 Kennedy Dr
- South Burlington, VT
- Zip : 05403-6749
- Fax : (802) 859-3669
- Phone : (802) 859-3668
Second Address
- Dr. David William Mcgovern
- 150 Kennedy Dr
- South Burlington, VT
- Zip : 05403-6749
- Fax : (802) 859-3669
- Phone : (802) 859-3668
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213EP1101X | Primary Podiatric Medicine | 0560000083 | VT |
National Provider Identifier
| NPI | 1124021670 |
|---|---|
| Provider Name | Dr. David William Mcgovern |
| First Address | South Burlington, VT 05403-6749 |
| Second Address | South Burlington, VT 05403-6749 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/05/2005 |
| Last Update Date | 22/05/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 030253300 | CIGNA (01) | VT |
| 19539 | BLUE CROSS BLUE SHIELD (01) | VT |
| 5468401 | FAPREFERRED (01) | VT |
| 54V002 | MVP (01) | VT |
| T11247 | (02) | VT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.