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Bethany Stack, P.A
NPI 1184619876 · on the registry since 2005 · sole proprietor
Practice
- Address
- 3 Albert Cree Dr
Rutland, VT 05701 - Phone
- (802) 775-2937
- Fax
- (802) 773-0934
- Organisation at this address
- Vermont Orthopaedic Clinic Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 11
Registry record
- Primary taxonomy
- Medical Physician Assistant
363AM0700X
- Licence states on file
- VT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-03-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Vermont