MR. Ross William Thibodeau

NPI #1548634132 in Saint Albans, Vermont

Provider Information

NPI Number: 1548634132
Entity Type: Individual
Name: MR. Ross William Thibodeau
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Enumeration Date: Nov 19, 2015
Last Updated: Nov 19, 2015

Practice Location

Address: 3 CREST RD
City: Saint Albans
State: Vermont
ZIP Code: 05478-9753
Phone: (802) 524-8915

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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