| NPI | 1790737393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN ROBERT PARTILO Member 802-864-0192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 174400000X Specialist |
| 207XS0106X Orthopaedic Surgery, Hand Surgery | |
| 208200000X Plastic Surgery | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2022-04-28 |