| NPI | 1578797882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL ROGERS Proprietor/Physician 802-635-7325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VT 042-0006199) |
| Enumeration Date | 2009-05-14 |
| Last Update Date | 2009-05-14 |