Samantha Lynn Bouthillette, PA-C
NPI #1013268218 in Springfield, Massachusetts
Provider Information
- NPI Number
- 1013268218
- Entity Type
- Individual
- Name
- Samantha Lynn Bouthillette, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Sep 27, 2012
- Last Updated
- Jul 1, 2024
Practice Location
- Address
- 300 BIRNIE AVE
- City
- Springfield
- State
- Massachusetts
- ZIP Code
- 01107-1107
- Phone
- (413) 785-4666
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Surgical — Surgical |
| Physician Assistant |
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