White River Family Practice Pc

NPI 1518032564 - Family Medicine - 207Q00000X

NPI Details
NPI 1518032564
Enumeration Date 11/22/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MARK M MARK
Position MD
Phone (802) 295-6132
Fax (802) 295-1358
Practice Location
331 OLCOTT DRIVE
SUITE U3
WHITE RIVER JCT VT, 05001, US
Phone (802) 295-6132
Fax (802) 295-1358
Business Location
331 OLCOTT DRIVE
SUITE U3
WHITE RIVER JCT VT, 05001, US
Phone (802) 295-6132
Fax (802) 295-1358
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, White River Family Practice Pc NPI is 1518032564, taxonomy code is 207Q00000X White River Family Practice Pc physically located at 331 Olcott Drive, White River Jct VT, 05001. NPI Number 1033115704 has the healthcare provider type.

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1518032564 NPI number is provided on an as is basis without warranty of any kind. 1518032564 is maintained by the National Plan & Provider Enumeration System. The contents of White River Family Practice Pc are for informational purposes only.