NPI 1639721186 · live from the CMS NPI Registry
All Dimensions Primary Care PLLC
Physician Assistant in Rutland, VT. National Provider Identifier 1639721186, active.
NPI record
| NPI | 1639721186 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 92 Allen Street, Rutland, VT 05701 |
| Practice phone | 802-776-4045 |
| Enumerated | July 15, 2019 |
| Last updated | December 2, 2019 |
| Authorized official | Patty Thornton, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.