| NPI | 1003248238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE PASCHALL Practice Manager 802-655-7173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2014-02-11 |