Individual
SCOTT THOMAS WILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
2270 S RIDGEVIEW DR STE 201, YUMA, AZ 85364-8880
(928) 344-5055
Mailing address
2400 S AVENUE A, YUMA, AZ 85364-7127
(928) 344-2000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2144
AZ
Other
Enumeration date
09/27/2006
Last updated
11/14/2024
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