Organization Name: | VERMONT PHYSICIANS CLINIC INC. |
NPI Number: | 1043421092 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL GARCIA (OWNER) |
Mailing Address: | 4 Commons St Rutland |
State: | VT US |
Postal Code: | 057014651 |
Phone Number: | 8027731321 |
Fax Number: | |
NPI Enumeration Date: | 05/24/2007 |
NPI Last Update Date: | 07/02/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 042-0008626 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |