Bethany Lynn Stack, P.A.
NPI #1184619876 in Rutland, Vermont
Provider Information
- NPI Number
- 1184619876
- Entity Type
- Individual
- Name
- Bethany Lynn Stack, P.A.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant - Medical
- Credential
- P.A.
- Enumeration Date
- Sep 19, 2005
- Last Updated
- Mar 3, 2011
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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