| NPI | 1346682093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER DESHAIES CFO 802-847-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207N00000X Dermatology |
| 207P00000X Emergency Medicine | |
| 207T00000X Neurological Surgery | |
| 207V00000X Obstetrics & Gynecology | |
| 207W00000X Ophthalmology | |
| 207X00000X Orthopaedic Surgery | |
| 207Y00000X Otolaryngology | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology | |
| 208000000X Pediatrics | |
| 208100000X Physical Medicine & Rehabilitation | |
| 208600000X Surgery | |
| 208VP0000X Pain Medicine, Pain Medicine | |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2013-07-23 |