Individual
SCOTT ALAN SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
130 FISHER RD, BLD. A, SUITE 2-2, BERLIN, VT 05602
(802) 229-2663
(802) 229-6645
Mailing address
130 FISHER RD, BLD. A, SUITE 2-2, BERLIN, VT 05602
(802) 229-2663
(802) 229-6645
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
055-0030654
VT
363AS0400X
Surgical Physician Assistant
Primary
055-0030654
VT
Other
Enumeration date
07/19/2006
Last updated
02/08/2010
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