| NPI | 1669146510 |
|---|---|
| Doing Business As | NORTHERN GREEN MOUNTAIN FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | KRISTINA DUPRAT Owner 802-933-5702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2021-08-04 |
| Last Update Date | 2021-08-04 |