Jordan David Carr, PA-C

NPI #1114400611 in West Pawlet, Vermont

Provider Information

NPI Number: 1114400611
Entity Type: Individual
Name: Jordan David Carr, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 11, 2018
Last Updated: Sep 11, 2018

Practice Location

Address: 278 VT 149
City: West Pawlet
State: Vermont
ZIP Code: 05775-9798
Phone: (802) 645-0580

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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