Individual
STEVEN SCOTT SHUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
VA MEDICAL CENTER 215 NORTH MAIN ST, WHITE RIVER JUNCTION, VT 05009-0001
(802) 295-9363
(802) 291-6262
Mailing address
38 WEBSTER RD, HARTLAND, VT 05048-9501
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0001120
MD
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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