# MARK YORRA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Granite City Medical Assoc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902132608
- **Authorized official:** MARK YORRA (M.D.)
- **Authorized official phone:** (802) 479-2546

## Contact information

- **Practice address:** 30 KEITH AVE, BARRE, VT 05641-3729
- **Practice address phone:** (802) 479-2546
- **Mailing address:** 30 KEITH AVE, BARRE, VT 05641-3729

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 042-0006066 | VT | Yes |

## Other

- **Enumeration date:** 10/30/2009
- **Last updated:** 05/28/2010