| NPI | 1427239300 |
|---|---|
| Doing Business As | BENNINGTON PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | MARY WICKER COO 802-442-6361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2007-12-17 |