NPI 1568615441

Sanctuary Integrative Medicine PC

Organisation Public Health & General Preventive Medicine Physician Rutland, VT

Practice location

Address: 90 Mahoney Ave, Rutland, VT 05701-4836
Phone: (802) 775-7848
Fax: (802) 774-5145

Authorised official

Name: Mark E Logan
Title: Provider
Phone: (802) 775-7848

Registered specialties

Public Health & General Preventive Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083P0901X Licence 0420006819 (VT)

Other Preventive Medicine providers in Vermont →

Registry record

NPI: 1568615441
Entity type: Organization
NPI issued: 23 Oct 2008
Record last updated: 18 Jun 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.