Individual provider · Type 1 NPI

Sarah Stork Tatko, PA

Medical Physician Assistant · Bomoseen, VT

NPI number 1598908683 Active

Practice location

275 Route 30 N
Bomoseen, VT 05732-9647

Call (802) 468-5641 Map

Fax (802) 468-2923

Mailing address

71 Allen St, Ste 101
Rutland, VT 05701-4570

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist 235Z00000X8053008 (VT)
Medical Physician Assistant Primary 363AM0700X055.0031204 (VT)

Medical Physician Assistant: Definition to come...

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About NPI 1598908683

Sarah Stork Tatko, PA's National Provider Identifier is 1598908683, issued on Apr 20, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Bomoseen, VT. The record was last updated on Apr 1, 2021.