| NPI | 1831113331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY WICKER Director 802-442-6361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0200X Clinic/Center, Oncology |
| Additional Taxonomies | 208000000X Pediatrics |
| 208600000X Surgery | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2008-01-11 |