NPI 1235158569 · live from the CMS NPI Registry
William Bond Burton, PA
Physician Assistant, Medical in Berlin, VT. National Provider Identifier 1235158569, active.
NPI record
| NPI | 1235158569 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Medical 363AM0700X |
| Practice location | 130 Fisher Rd, Berlin, VT 05602 |
| Practice phone | 802-371-4100 |
| Mailing address | 130 Fisher Rd, Po Box 547, Berlin, VT 05602 |
| Enumerated | July 18, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Medical primary | 363AM0700X | 055-0030438 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.