Individual
SYDNEY FALLON SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
575 COAL VALLEY RD STE 464, CLAIRTON, PA 15025-3740
(412) 267-6360
Mailing address
575 COAL VALLEY RD STE 464, CLAIRTON, PA 15025-3740
(412) 267-6360
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA065715
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16302936
CAQH
—
Enumeration date
07/09/2024
Last updated
09/23/2024
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