| NPI | 1750483780 |
|---|---|
| Former Legal Business Name | BORDER HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | MIRIAM BLODGETT TATUM President 802-873-3009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: VT 042-0008370) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VT 042-0008363) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2013-01-04 |