| Peter C. Stickney, MD PC | |
|
69 Allen St Suite #5 Rutland VT 05701-4590 | |
| (802) 773-2626 | |
| (802) 773-5245 |
| Full Name | Peter C. Stickney, MD PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 69 Allen St, Rutland, Vermont |
| Authorized Official Name and Position | Peter C. Stickney (PRESIDENT) |
| Authorized Official Contact | 8027732626 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peter C. Stickney, MD PC 69 Allen St Suite #5 Rutland VT 05701-4590 Ph: (802) 773-2626 | Peter C. Stickney, MD PC 69 Allen St Suite #5 Rutland VT 05701-4590 Ph: (802) 773-2626 |
| NPI Number | 1902144405 |
|---|---|
| Provider Enumeration Date | 01/18/2013 |
| Last Update Date | 01/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902144405 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0420004909 (Vermont) | Primary |
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