Individual provider · Type 1 NPI
Molly Backup, PA
Medical Physician Assistant · Williston, VT
NPI number
1700972486
Active
Practice location
28 Park Ave
Williston, VT 05495
Fax (802) 872-2679
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 0550030406 (VT) |
Medical Physician Assistant: Definition to come...
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About NPI 1700972486
Molly Backup, PA's National Provider Identifier is 1700972486, issued on Oct 4, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Williston, VT. The record was last updated on Jul 8, 2007.