Individual
MR. JON MACKAY SCRIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
15556 OLMSTED PL, DENVER, CO 80239-6606
(210) 373-9479
Mailing address
2418 E HIGHWAY 66 # 226, GALLUP, NM 87301-4767
(210) 373-9479
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA.0003901
CO
363AM0700X
Medical Physician Assistant
PA04206
TX
Other
Enumeration date
03/30/2007
Last updated
09/05/2024
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