| NPI | 1497081194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANASTASIA JB GREER Credentialing Coordinator 802-448-9719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2009-10-30 |
| Last Update Date | 2014-05-01 |