Mad River Integrative Medicine
NPI #1114086808 in Waitsfield, Vermont
Provider Information
- NPI Number
- 1114086808
- Entity Type
- Organization
- Organization Name
- Mad River Integrative Medicine
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Dec 8, 2006
- Last Updated
- Apr 1, 2008
Practice Location
- Address
- 5360 MAIN ST
- Address 2
- STE 2
- City
- Waitsfield
- State
- Vermont
- ZIP Code
- 05673-6003
- Phone
- (802) 496-2202
Authorized Official
- Name
- DR. TIMOTHY J WARGO, M.D
- Title
- PRESIDENT
- Phone
- (802) 496-2202
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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