NPI | 1811099229 |
---|---|
Entity Type | Organization |
Authorized Contact | RACHEL ATKINS Business Manager 802-878-8131 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2006-09-05 |
Last Update Date | 2013-06-11 |