NPI 1538197421 · live from the CMS NPI Registry
Stephen M Koller, MD
Radiology, Diagnostic Radiology in Middlebury, VT. National Provider Identifier 1538197421, active.
NPI record
| NPI | 1538197421 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 115 Porter Dr, Radiology Department, Middlebury, VT 05753 |
| Practice phone | 802-388-8851 |
| Mailing address | 1119 Basin Harbor Rd, Bridport, VT 05734 |
| Enumerated | June 29, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | 042-0009220 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.