| NPI | 1023028784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHEYENNE HOLLAND CFO 802-371-4109 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 208000000X Pediatrics | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 208600000X Surgery | |
| 208800000X Urology | |
| 213E00000X Podiatrist | |
| 207R00000X Internal Medicine | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VT 762) | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: VT 762) | |
| 207RR0500X Internal Medicine, Rheumatology | |
| 207V00000X Obstetrics & Gynecology | |
| 207X00000X Orthopaedic Surgery | |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2024-02-16 |