Molly Susan Smith

NPI #1306471636 in Manchester Center, Vermont

Provider Information

NPI Number: 1306471636
Entity Type: Individual
Name: Molly Susan Smith
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Enumeration Date: Mar 6, 2020
Last Updated: Feb 23, 2022

Practice Location

Address: 57 SMITHS HILL RD
City: Manchester Center
State: Vermont
ZIP Code: 05255-9600
Phone: (802) 733-1160

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Physician Assistant	363A00000X	Primary

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