person
Molly Backup, PA
Medical Physician Assistant in Williston, Vermont
NPI 1700972486

Molly Backup is a Medical Physician Assistant based in Williston, VT and is specialized in Medical. Molly Backup practices in Williston, VT and has the professional credentials of PA. The NPI Number for Molly Backup is 1700972486 and holds a License No. 0550030406 (Vermont).

The current practice location address for Molly Backup is 28 Park Ave, Williston, VT and can be reached out via phone at 802-878-1008 and via fax at 802-872-2679. You can also correspond with Molly Backup through the mailing address at 28 PARK AVE, WILLISTON, VT - 05495 (mailing address contact number: 802-878-1008).

Location: 28 Park Ave, Williston, VT, 05495
person
Provider Profile Details
NPI Number
1700972486
Provider Name
Molly Backup
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
28 Park Ave, Williston, VT, 05495
Phone Number
802-878-1008
Fax Number
802-872-2679
Provider Enumeration Date
10/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0AP0942 05 VT
institution
Provider Business Practice Location Address Details
Address
28 Park Ave
City
State
Zip
05495
Phone Number
802-878-1008
Fax Number
802-872-2679
person
Provider Business Mailing Address Details
Address
28 Park Ave
City
State
Zip
05495
Phone Number
802-878-1008
Fax Number
802-872-2679
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
0550030406 (Vermont)
Definition
Definition to come...
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