NPI 1134194798

Vickie Christine Gerdon, PAC

Practitioner Medical Physician Assistant Southington, CT

Practice location

Address: 1131 West St, Southington, CT 06489-6006
Phone: (860) 621-7682

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 000428 (CT)

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Registry record

NPI: 1134194798
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Feb 2006
Record last updated: 17 Dec 2012

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.