Mad River Integrative Medicine
Organization Active NPI Family Medicine Physician · Waitsfield, VT
NPI 1124239199 · NPPES record last updated Oct 27, 2007
Key facts
- NPI
- 1124239199
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- MAD RIVER INTEGRATIVE MEDICINE
- Practice address
- 5360 Main St
Suite 2
Waitsfield, VT 05673-6003 - Phone
- (802) 496-2202
- NPI assigned
- May 24, 2007
- Organization subpart
- No
Authorized official
- Name
- Tim Wargo
- Title
- Owner
- Phone
- (802) 496-2202
National Provider Directory
Locations
5360 Main St
Ste 2
Waitsfield, VT 05673
Phone (802) 496-2202
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
5360 Main St
Suite 2
Waitsfield, VT 05673-6003
Mailing address
5360 Main St
Suite 2
Waitsfield, VT 05673-6003
Other providers in Waitsfield, VT
- Lindsay B. Jernigan, PHD, PLC
- Mad River Eye Care PLLC
- Mad River Family Health
- Mad River Health PLLC
- Mad River Integrative Medicine
- Mad River Internal Medicine
- Mad River Valley Ambulance Service, Inc.
- Mahoney Family Chiropractic, LLC
- Sean Patrick Mahoney
- Morgan McClintic
All providers in Waitsfield, VT · Family Medicine Physician in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.