NPI 1235961095

Emma West Radler, PAC

Practitioner Physician Assistant Middlebury, VT

Practice location

Address: 115 Porter Dr, Middlebury, VT 05753-8423
Phone: (802) 388-4701
Mailing address: 55 Collins Dr, Middlebury, VT 05753-8503

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 055.0031770 (VT)

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Registry record

NPI: 1235961095
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Aug 2024
Record last updated: 19 Aug 2024

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.