| NPI | 1902938483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES N. PAPPAS Manager 802-425-5141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VT 042-0008961) |
| Enumeration Date | 2007-03-11 |
| Last Update Date | 2020-08-22 |