OrganizationActive
Sanctuary Integrative Medicine PC
NPI 1568615441 · Public Health & General Preventive Medicine Physician · Rutland, VT
Provider details
- NPI number
- 1568615441
- Entity type
- Organization
- Primary specialty
- Public Health & General Preventive Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mark Logan, Provider(802) 775-7848
- License
- 0420006819 (VT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
90 Mahoney Ave
Rutland, VT 05701-4836
Phone: (802) 775-7848
Fax: (802) 774-5145
Approximate (ZIP-level) locationGet directions
Mailing address
90 Mahoney Ave
Rutland, VT 05701-4836
Registry dates
- Enumerated
- 2008-10-23
- Last updated
- 2010-06-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.