Individual
WADE YOUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
115 PORTER DR, MIDDLEBURY, VT 05753-8423
(802) 388-4100
Mailing address
115 PORTER DR, MIDDLEBURY, VT 05753-8423
(802) 388-4100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
055-0031548
VT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/26/2019
Last updated
09/14/2023
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