NPI | 1699149559 |
---|---|
Other Name | MARATHON HEALTH AT BOAR'S HEAD |
Entity Type | Organization |
Authorized Contact | JERRY FORD CEO 802-857-0400 |
Organization Subpart ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Enumeration Date | 2015-11-16 |
Last Update Date | 2015-11-16 |