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RICHARD N CLATTENBURG MD

>> Emergency Medical Technician, Basic >> Emergency Medical Service Providers

Registrant NPI Number: 1457346124

Individual Registrant:
 RICHARD N CLATTENBURG MD
Gender: M
Sole Proprietor

Location and contact information for practice:
1067 CADY HILL RD  PERKINSVILLE, VT 05151-9523 US
Tel: 802-263-5505  Fax: 802-263-5594

Contact information for business:
1067 CADY HILL RD  PERKINSVILLE, VT 05151-9523 US
Tel: 802-263-5505  Fax: 802-263-5594

Registration Information:
NPI: 1457346124
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N146N00000XEmergency Medical Service Providers
Emergency Medical Technician, Basic
VT0420006288
N208000000XAllopathic & Osteopathic Physicians
Pediatrics
VT042-0006288
Y2080P0006XAllopathic & Osteopathic Physicians
Pediatrics
VT042-0006288

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
0005110VT05




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