NPI | 1588039176 |
---|---|
Doing Business As | NORTHWESTERN PEDIATRICS |
Entity Type | Organization |
Authorized Contact | MARY PIGEON Credentialing Specialist 802-524-8954 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Enumeration Date | 2015-12-08 |
Last Update Date | 2015-12-08 |