| NPI | 1912038571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE GELLIS Physician Owner 802-527-1282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2009-03-27 |