| NPI | 1235195454 |
|---|---|
| Other Name | MT ANTHONY PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | JON W ASSELIN COO 802-872-4326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2022-11-29 |