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Mr. Jonathan Duvall Speer, PA
Medical Physician Assistant in St Johnsbury, Vermont
NPI 1548858053

Jonathan Duvall Speer is a Medical Physician Assistant based in St Johnsbury, VT and is specialized in Medical. Jonathan Duvall Speer practices in St Johnsbury, VT and has the professional credentials of PA. The NPI Number for Jonathan Duvall Speer is 1548858053 and holds a License No. (Vermont).

The current practice location address for Jonathan Duvall Speer is 185 Sherman Dr, St Johnsbury, VT and can be reached out via phone at 802-748-5041.

Location: 185 Sherman Dr, St Johnsbury, VT, 05819-9811
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548858053
Provider Name
Jonathan Duvall Speer
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
185 Sherman Dr, St Johnsbury, VT, 05819-9811
Phone Number
802-748-5041
Fax Number
Provider Enumeration Date
01/10/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
185 Sherman Dr
City
St Johnsbury
State
Vermont
Zip
05819-9811
Phone Number
802-748-5041
Fax Number
person
Provider Business Mailing Address Details
Address
185 Sherman Dr
City
St Johnsbury
State
Vermont
Zip
05819-9811
Phone Number
802-748-5041
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
055-0031000 (Vermont)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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