NPI | 1114530409 |
---|---|
Doing Business As | NORTHWESTERN PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | MARY E PIGEON Credentialing Specialist 802-524-8954 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2020-08-26 |
Last Update Date | 2020-08-26 |