NPI 1497359103 · live from the CMS NPI Registry
Interventional Spine Of Vermont, PLLC
Anesthesiology, Pain Medicine in Williston, VT. National Provider Identifier 1497359103, active.
NPI record
| NPI | 1497359103 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology, Pain Medicine 207LP2900X |
| Practice location | 277 Blair Park Rd Ste 110, Williston, VT 05495 |
| Practice phone | 802-404-2004 |
| Mailing address | Po Box 1182, Williston, VT 05495 |
| Enumerated | November 23, 2020 |
| Last updated | December 3, 2020 |
| Authorized official | Esther Caballero-Manrique, Physician Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology, Pain Medicine primary | 207LP2900X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.