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Individual

ELLIOTT SCOTT FOSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
2500 COMO AVE, SAINT PAUL, MN 55108-1460
(651) 641-6200
Mailing address
8170 33RD AVE S # MS 21110Q, MINNEAPOLIS, MN 55425-4516

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12402
MN

Other

Enumeration date
05/11/2017
Last updated
10/08/2024
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