| NPI | 1811276868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISE COURCELLE BEDARD Office Manager 802-775-8032 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VT 0420009268) |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2011-08-09 |