Lookup NPI Numbers from the NPI Registry
NPI Profile for AUTUMN M BONDESEN in RICHFORD, VT.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical |
363AM0700X | 97 | Physician Assistant |
| NPI Number | 1063749414 |
|
| Status | Active | |
| Credentials | PA (Physician Assistant) | |
| Entity | Individual | |
| Enumeration date | 11/05/2009 | |
| Last updated | 09/25/2012 - About 14 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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AUTUMN M BONDESEN
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AUTUMN M BONDESEN, PA