NPI | 1851437339 |
---|---|
Former Legal Business Name | CHAMPLAIN VALLEY PULMONARY ASSOCIATES, PC |
Entity Type | Organization |
Authorized Contact | WILLIAM BRUCE BUNN President 518-562-7705 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist |
Enumeration Date | 2007-01-30 |
Last Update Date | 2012-04-26 |