Individual
JEREMY ORR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
160 ALLEN ST, RUTLAND, VT 05701-4560
(802) 775-7111
(802) 747-6260
Mailing address
160 ALLEN ST, RUTLAND, VT 05701-4560
(802) 775-7111
(802) 747-6260
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0550030644
VT
Other
Enumeration date
07/22/2006
Last updated
07/08/2007
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