Individual
JOSEPH W PRESCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
1315 HOSPITAL DR, ST JOHNSBURY, VT 05819-9210
(802) 748-8141
Mailing address
PO BOX 905, ST JOHNSBURY, VT 05819-0905
(802) 748-8141
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
0209
NH
363AS0400X
Surgical Physician Assistant
Primary
055-0030217
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3078128
—
NH
05
—
9000259
—
VT
Enumeration date
08/11/2006
Last updated
02/04/2015
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