NPI | 1609190164 |
---|---|
Entity Type | Organization |
Authorized Contact | JONATHAN ERIC FENTON Physician 802-859-0000 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: VT 032-0000356) |
Enumeration Date | 2010-03-26 |
Last Update Date | 2010-07-30 |