NPI | 1083151831 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN DOUGLAS GRUBER Owner/Physician 802-254-3300 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: VT 006.0001135) |
Enumeration Date | 2017-01-31 |
Last Update Date | 2017-01-31 |