NPI | 1881167245 |
---|---|
Other Name | BOAR'S HEAD EMPLOYEE HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | JERRY FORD CEO 802-857-0400 |
Organization Subpart ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant |
Enumeration Date | 2019-01-09 |
Last Update Date | 2019-01-09 |