DR. Miriam Blodgett Tatum, M.D.
NPI #1770682106 in Derby Line, Vermont
Provider Information
- NPI Number
- 1770682106
- Entity Type
- Individual
- Name
- DR. Miriam Blodgett Tatum, M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pediatrics - Adolescent Medicine
- Credential
- M.D.
- Enumeration Date
- Sep 22, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 159 MAIN STREET
- City
- Derby Line
- State
- Vermont
- ZIP Code
- 05830
- Phone
- (802) 873-3009
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics - Adolescent Medicine — Adolescent Medicine |
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|---|---|
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