| 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 |