| NPI | 1619989738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID L MULLER Administrative Partner 802-885-6373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2022-07-21 |