| NPI | 1821581174 |
|---|---|
| Doing Business As | NORTHWESTERN EAR, NOSE & THROAT |
| Entity Type | Organization |
| Authorized Contact | MARY E PIGEON Credentialing Specialist 802-524-8954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2018-06-12 |