| Granite City Medical Assoc | |
|
30 Keith Ave Barre VT 05641-3729 | |
| (802) 479-2546 | |
| Not Available |
| Full Name | Granite City Medical Assoc |
|---|---|
| Speciality | Internal Medicine |
| Location | 30 Keith Ave, Barre, Vermont |
| Authorized Official Name and Position | Mark Yorra (M.D.) |
| Authorized Official Contact | 8024792546 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Granite City Medical Assoc 30 Keith Ave Barre VT 05641-3729 Ph: () - | Granite City Medical Assoc 30 Keith Ave Barre VT 05641-3729 Ph: (802) 479-2546 |
| NPI Number | 1902132608 |
|---|---|
| Provider Enumeration Date | 10/30/2009 |
| Last Update Date | 05/28/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902132608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 042-0006066 (Vermont) | Primary |
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