| NPI | 1346459153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERE F BERRY Office Manager 802-655-9798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2011-05-11 |