NPI | 1043492259 |
---|---|
Entity Type | Organization |
Authorized Contact | CLYDE A. NEWTON President/Owner 802-257-0110 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: VT 0420003916) |
Enumeration Date | 2007-11-29 |
Last Update Date | 2007-11-29 |