| NPI | 1730330762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA JAUCH Office Manager 802-748-5126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: VT 420006154) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: VT 008425846) |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2008-10-08 |