| NPI | 1275968992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARA L HILL Office Coordinator 802-472-3033 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine |
| Additional Taxonomies | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2017-11-08 |