NPI | 1598180226 |
---|---|
Other Name | MARATHON HEALTH AT CARNIVAL |
Entity Type | Organization |
Authorized Contact | JERRY FORD CEO 802-857-0400 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site |
Enumeration Date | 2014-03-05 |
Last Update Date | 2014-03-05 |