NPI 1104847185

Jeremy Orr, PAC

Practitioner Physician Assistant Rutland, VT

Practice location

Address: 160 Allen St, Rutland, VT 05701-4560
Phone: (802) 775-7111
Fax: (802) 747-6260

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 0550030644 (VT)

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Registry record

NPI: 1104847185
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Jul 2006
Record last updated: 8 Jul 2007

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.