Provider Demographics
NPI:1225446818
Name:VERMONT VETERINARY CARDIOLOGY SERVICES
Entity Type:Organization
Organization Name:VERMONT VETERINARY CARDIOLOGY SERVICES
Other - Org Name:PEAK VETERINARY REFERRAL CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:VETERINARIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:J
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:DVM
Authorized Official - Phone:802-477-2877
Mailing Address - Street 1:158 HURRICANE LN
Mailing Address - Street 2:
Mailing Address - City:WILLISTON
Mailing Address - State:VT
Mailing Address - Zip Code:05495-2072
Mailing Address - Country:US
Mailing Address - Phone:802-878-2022
Mailing Address - Fax:866-627-0388
Practice Address - Street 1:158 HURRICANE LN
Practice Address - Street 2:
Practice Address - City:WILLISTON
Practice Address - State:VT
Practice Address - Zip Code:05495-2072
Practice Address - Country:US
Practice Address - Phone:802-878-2022
Practice Address - Fax:866-627-0388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-27
Last Update Date:2014-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT052.0001729174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174M00000XOther Service ProvidersVeterinarianGroup - Multi-Specialty