| NPI | 1124297007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL TAHERI Faculty Practice President 802-847-1882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VT 700) |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2008-02-26 |