NPI | 1376140889 |
---|---|
Doing Business As | NORTHWESTERN PEDIATRICS |
Entity Type | Organization |
Authorized Contact | MARY E PIGEON Credentialing Specialist 802-524-8954 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Enumeration Date | 2020-10-07 |
Last Update Date | 2020-10-12 |