| NPI | 1215217641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH L BROWN Enrollment Specialist 802-487-2589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2025-09-24 |