| NPI | 1073778734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAYLE P MYERS President/Owner 802-524-2583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: 0420007965) |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2008-10-02 |