NPI 1174543888

Scott Alan Small, PAC

Practitioner Surgical Physician Assistant Berlin, VT

Practice location

Address: 130 Fisher Rd Bld. A, Suite 2-2, Berlin, VT 05602
Phone: (802) 229-2663
Fax: (802) 229-6645

Registered specialties (2)

Surgical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence 055-0030654 (VT)

Other Physician Assistant providers in Vermont →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 055-0030654 (VT)

Registry record

NPI: 1174543888
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jul 2006
Record last updated: 8 Feb 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.