Individual
MR. GARY A SCOTT SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PASTOR
Contact information
Practice address
6551 S 43RD LN, LAVEEN, AZ 85339-6246
(480) 613-7677
Mailing address
15411 W WADDELL RD STE 102-128, SURPRISE, AZ 85379-5170
(480) 613-7677
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
51487
MD
1744R1102X
Research Study Specialist
51487
MD
374K00000X
Religious Nonmedical Practitioner
51487
MD
Other
Enumeration date
12/10/2024
Last updated
12/10/2024
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