# VERMONT PHYSICIANS CLINIC DBA GREEN MOUNTAIN FAMILY MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013123355
- **Authorized official:** CHARLES EGBERT (M.D.)
- **Authorized official phone:** (802) 775-7798

## Contact information

- **Practice address:** 69 ALLEN ST, STE 203, RUTLAND, VT 05701-4564
- **Practice address phone:** (802) 775-7798
- **Mailing address:** 69 ALLEN ST, STE 203, RUTLAND, VT 05701-4564

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/15/2007
- **Last updated:** 08/22/2020