Organization
BLUE SPRUCE HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD UMAIR MALIK MD (CEO/OWNER)
(802) 500-6923
Entity
Organization
Contact information
Practice address
401 E MAIN ST, NEWPORT, VT 05855-5890
(802) 500-6923
Mailing address
401 E MAIN ST, NEWPORT, VT 05855-5890
(802) 500-6923
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
09/16/2022
Last updated
07/16/2024
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