| 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 |