| NPI | 1083637946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD A WEAVER Physician 802-775-5531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: VT 042-0004441) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VT 042-0004441) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2009-10-28 |