Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath |
NPI | 1124593397 |
---|---|
Provider Name | Dr. John Paul Marriott |
First Address | Fairfax, VT 05454-9576 |
Second Address | Fairfax, VT 05454-9576 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2018 |
Last Update Date | 03/10/2018 |