IndividualActive
Clarence Ivie, D.O.
NPI 1275585689 · Anesthesiology Physician · Burlington, VT
Provider details
- NPI number
- 1275585689
- Entity type
- Individual
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 032-0000512 (VT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
111 Colchester Ave
Wp-2
Burlington, VT 05401-1473
Phone: (802) 847-2415
Fax: (802) 847-2965
Approximate (ZIP-level) locationGet directions
Mailing address
111 Colchester Ave
Burlington, VT 05401-1473
Registry dates
- Enumerated
- 2006-05-16
- Last updated
- 2013-05-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.