| NPI | 1942234083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES V. MOGAN Owner 802-658-4263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: VT 0420005073) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2011-01-28 |