| NPI | 1841484854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN BURGESS Physician 802-254-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: VT 042-0011317) |
| Enumeration Date | 2007-09-03 |
| Last Update Date | 2007-09-03 |