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Vickie Christine Gerdon, PA-C
Medical Physician Assistant in Southington, Connecticut
NPI 1134194798

Vickie Christine Gerdon is a Medical Physician Assistant based in Southington, CT and is specialized in Medical. Vickie Christine Gerdon practices in Southington, CT and has the professional credentials of PA-C. The NPI Number for Vickie Christine Gerdon is 1134194798 and holds a License No. 000428 (Connecticut).

The current practice location address for Vickie Christine Gerdon is 1131 West St, Southington, CT and can be reached out via phone at 860-621-7682. You can also correspond with Vickie Christine Gerdon through the mailing address at 1131 WEST ST, SOUTHINGTON, CT - 06489-6006 (mailing address contact number: 860-621-7682).

Location: 1131 West St, Southington, CT, 06489-6006
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Provider Profile Details
NPI Number
1134194798
Provider Name
Vickie Christine Gerdon
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1131 West St, Southington, CT, 06489-6006
Phone Number
860-621-7682
Fax Number
Provider Enumeration Date
02/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000428 01 CT CTCARE PROVIDER #
217217 01 CT PREFERRED ONE
institution
Provider Business Practice Location Address Details
Address
1131 West St
City
State
Zip
06489-6006
Phone Number
860-621-7682
Fax Number
person
Provider Business Mailing Address Details
Address
1131 West St
City
State
Zip
06489-6006
Phone Number
860-621-7682
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
000428 (Connecticut)
Definition
Definition to come...
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