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 |