# MR. JOHN GREGORY SCOTT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1558307371
- **Gender:** Man
- **Credential:** P.A.C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 304 | MT | Yes |

## Other

- **Enumeration date:** 06/21/2006
- **Last updated:** 04/08/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000097253 | BLUE CROSS BLUE SHIELD | MT |
| 05 | — | 0025090 | — | MT |
| 01 | — | 0221549 | WASHINGTON L & I | MT |
| 01 | — | 810347861 | CHAMPUS | MT |