| NPI | 1306116801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN F DUMAS Owner 802-773-7502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: VT 1010015655) |
| Enumeration Date | 2011-12-31 |
| Last Update Date | 2017-04-17 |