Individual provider · NPI-1

Gordon K. Ahlers II, MD

Family Medicine · Morrisville, VT

NPI number1669490348
StatusActive
Last updated in NPPESFeb 13, 2020

Details

NPI
1669490348
Entity type
Individual (NPI-1)
Name
Gordon K. Ahlers II
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jul 18, 2006
Certification date
Feb 13, 2020
Last updated
Feb 13, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine042.0006927VTYes
207Q00000X Family Medicine48027511205UT
207P00000X Emergency Medicine48027511205UT
207Q00000X Family MedicineG89199CA

Practice location

609 Washington Hwy
Morrisville, VT 05661-8652

Phone 802-888-5639 · Fax 802-888-6040

Mailing address

Po Box 749
Morrisville, VT 05661-0749

Phone 802-888-5639 · Fax 802-888-6040

Other practice locations

516 East Nizhoni Blvd.
Gallup, NM 87301-1337

Phone 505-722-1000 · Fax 505-726-8740

38883 Hwy 299
Willow Creek, CA 95573-0726

Phone 503-629-1941 · Fax 503-629-3122

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