| NPI | 1831782929 |
|---|---|
| Doing Business As | GIFFORD PEDICATRIC AND ADOLESCENT MEDICINE |
| Entity Type | Organization |
| Authorized Contact | DANIEL BENNETT CEO 802-728-2211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2021-02-19 |
| Last Update Date | 2021-08-03 |