| NPI | 1902132608 |
|---|---|
| Doing Business As | GRANITE CITY MEDICAL ASSOC |
| Entity Type | Organization |
| Authorized Contact | MARK YORRA M.D. 802-479-2546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VT 042-0006066) |
| Enumeration Date | 2009-10-30 |
| Last Update Date | 2010-05-28 |