Organization
INTERVENTIONAL SPINE OF VERMONT, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESTHER CABALLERO-MANRIQUE MD (PHYSICIAN OWNER)
(802) 404-2004
Entity
Organization
Contact information
Practice address
277 BLAIR PARK RD STE 110, WILLISTON, VT 05495-7885
(802) 404-2004
(888) 506-2885
Mailing address
PO BOX 1182, WILLISTON, VT 05495-1182
(802) 404-2004
(888) 506-2885
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
11/23/2020
Last updated
12/03/2020
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