Mad River Integrative Medicine

NPI #1124239199 in Waitsfield, Vermont

Provider Information

NPI Number
1124239199
Entity Type
Organization
Organization Name
Mad River Integrative Medicine
Primary Specialty
Family Medicine
Enumeration Date
May 24, 2007
Last Updated
Oct 27, 2007

Practice Location

Address
5360 MAIN ST
Address 2
SUITE 2
State
Vermont
ZIP Code
05673-6003
Phone
(802) 496-2202

Authorized Official

Name
TIM WARGO
Title
OWNER
Phone
(802) 496-2202

Specialties & Taxonomy Codes

Specialty
Family Medicine

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