Organization
SOJOURNS COMMUNITY HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA MOORE (DIRECTOR/OWNER)
(802) 722-4023
Entity
Organization
Contact information
Practice address
4923 US ROUTE 5, SOJOURNS COMMUNITY HEALTH CLINIC, WESTMINSTER, VT 05158-9651
(802) 722-4023
(802) 722-4137
Mailing address
4923 US ROUTE 5, SOJOURNS COMMUNITY HEALTH CLINIC, WESTMINSTER, VT 05158-9651
(802) 722-4023
(802) 722-4137
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OVN2821
—
VT
Enumeration date
07/30/2007
Last updated
07/30/2007
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