NPI 1073073813 · live from the CMS NPI Registry
Conrad Epping Koerper, MD
Anesthesiology in Burlington, VT. National Provider Identifier 1073073813, active.
NPI record
| NPI | 1073073813 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 111 Colchester Ave, Burlington, VT 05401 |
| Practice phone | 802-847-2345 |
| Mailing address | 72 Porters Point Ct, Colchester, VT 05446 |
| Enumerated | March 20, 2019 |
| Last updated | October 6, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Anesthesiology primary | 207L00000X | 042.0017294 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.