| NPI | 1437401957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY CARLSON President 802-857-0400 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: VT 042-0008079) |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2012-10-08 |