MIRIAM BLODGETT TATUM

DERBY LINE, VT
NPI1770682106
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2080A0000X Pediatrics, Adolescent Medicine
(Licence: VT  042-0008370)
Enumeration Date2006-09-22
Last Update Date2007-07-08
Business Address
Dr. MIRIAM BLODGETT TATUM M.D.
159 MAIN STREET
DERBY LINE, VT 05830
Phone number: 802-873-3009
Mailing Address
Dr. MIRIAM BLODGETT TATUM M.D.
PO BOX 970 159 MAIN STREET
DERBY LINE, VT 05830-0970
Phone number: 802-873-3009