Basic Information
| Provider Information | |||||||||
| NPI: | 1609193184 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LEGUNN | ||||||||
| FirstName: | SCOTT | ||||||||
| MiddleName: | DANIEL | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 111 COLCHESTER AVE. | ||||||||
| Address2: | UVM MEDICAL CENTER - MEDICINE/RHEUMATOLOGY | ||||||||
| City: | BURLINGTON | ||||||||
| State: | VT | ||||||||
| PostalCode: | 05401 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8028474574 | ||||||||
| FaxNumber: | 8028479695 | ||||||||
| Practice Location | |||||||||
| Address1: | 111 COLCHESTER AVE. | ||||||||
| Address2: | UVM MEDICAL CENTER - MEDICINE/RHEUMATOLOGY | ||||||||
| City: | BURLINGTON | ||||||||
| State: | VT | ||||||||
| PostalCode: | 05401 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8028474574 | ||||||||
| FaxNumber: | 8028479695 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/23/2010 | ||||||||
| LastUpdateDate: | 06/04/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RR0500X | 042.0013171 | VT | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Rheumatology | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.