NPI 1417906082

Clarence Paul Graether, PAC

Practitioner Physician Assistant Bennington, VT

Practice location

Address: 655 Main St, Bennington, VT 05201
Phone: (802) 258-3905
Fax: (802) 258-4903
Mailing address: 66 Knight Ln STE 10, Williston, VT 05495-9308

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 0550030210 (VT)

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Registry record

NPI: 1417906082
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 May 2006
Record last updated: 22 Mar 2021

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.