Organization · Type 2 NPI
Mad River Integrative Medicine
Primary Care Clinic/Center · Waitsfield, VT
NPI number
1114086808
Active
Practice location
5360 Main St, Ste 2
Waitsfield, VT 05673-6003
Fax (802) 496-2223
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 042-0007289 (VT) |
Primary Care Clinic/Center: Definition to come...
2 other providers at this address
About NPI 1114086808
Mad River Integrative Medicine's National Provider Identifier is 1114086808, issued on Dec 8, 2006. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Waitsfield, VT. The record was last updated on Apr 1, 2008.