| NPI | 1508342114 |
|---|---|
| Doing Business As | GREEN MOUNTAIN SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | HEATHER BARTLETT Clinical Director 802-488-5350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2019-07-05 |