| NPI | 1528168762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARION BURCHARD Adult Nurse Practitioner 1802-295-9363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NH 0342382305) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2009-01-27 |